Most Relevant Information
Provider Data
| NPI Number: | 1003179102 |
| Provider Name: | DIANE GARRIS LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00024091 |
Most Important Dates
| Enumeration Date: | 06/22/2012 |
| Last Updated: | 03/09/2015 |
Provider Practice Location
16825 48TH AVE W
SUITE 330
LYNNWOOD
WA
980376401
Practice Location Phone/Fax
| Phone: | 4259717878 |
| Fax: | 4254934348 |
Provider Mailing Location
16825 48TH AVE W
SUITE 330
LYNNWOOD
WA
980376401
Provider Mailing Phone/Fax
| Phone: | 4259717878 |
| Fax: | 4254934348 |