Diana Nelson Massage LLC

NPI #1760831283 in Walla Walla, Washington

Provider Information

NPI Number: 1760831283
Entity Type: Organization
Organization Name: Diana Nelson Massage LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DIANA NELSON MASSAGE LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jun 6, 2016
Last Updated: Jun 6, 2016

Practice Location

Address: 401 W MAIN ST # 105
City: Walla Walla
State: Washington
ZIP Code: 99362-2837
Phone: (509) 301-3859

Authorized Official

Name: MRS. DIANA JO NELSON, LMP
Title: LICENSED MASSAGE PRACTITIONER
Phone: (509) 301-3859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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