# DIANE GRUENEWALD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417350513
- **Gender:** F
- **Credential:** LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173C00000X | Reflexologist | MA40011 | FL | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 10/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MA40011 | MASSAGE THERAPY | FL |
| 01 | — | MM26912 | MASSAGE THERAPY BUSINESS | — |