Most Relevant Information
Provider Data
| NPI Number: | 1003063744 |
| Provider Name: | DIANNE MICHELLE FISHER LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00025268 |
Most Important Dates
| Enumeration Date: | 08/25/2008 |
| Last Updated: | 08/25/2008 |
Provider Practice Location
6501 196TH ST SW
SUITE C
LYNNWOOD
WA
980365980
Practice Location Phone/Fax
| Phone: | 4257752288 |
| Fax: |
Provider Mailing Location
6501 196TH ST SW
SUITE C
LYNNWOOD
WA
980365980
Provider Mailing Phone/Fax
| Phone: | 4257752288 |
| Fax: |