Diandra Brigette Kissack

NPI #1205395688 in Spokane Valley, Washington

Provider Information

NPI Number: 1205395688
Entity Type: Individual
Name: Diandra Brigette Kissack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 15, 2019
Last Updated: Feb 1, 2024

Practice Location

Address: 721 N PINES RD
City: Spokane Valley
State: Washington
ZIP Code: 99206-5225
Phone: (509) 892-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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