Individual provider · Type 1 NPI
Diane M. Burgess, CMMP, LMT
Massage Therapist · Irving, TX
NPI number
1760601470
Active
Practice location
1214 W Pioneer Dr
Irving, TX 75061-7308
Fax (972) 790-5099
Mailing address
2226 Druid Dr
Irving, TX 75060-5011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT014585 (TX) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1760601470
Diane M. Burgess, CMMP, LMT's National Provider Identifier is 1760601470, issued on Apr 24, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Irving, TX. The record was last updated on Jul 8, 2007.