Individual
MS. DIANNA R TAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
1888 RIDGEVIEW, YPSILANTI, MI 48198-9490
(734) 483-6994
(734) 971-1360
Mailing address
1888 RIDGEVIEW, YPSILANTI, MI 48198-9490
(734) 483-6994
(734) 971-1360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
530489-07
MI
225700000X
Massage Therapist
Primary
7501000286
MI
Other
Enumeration date
10/18/2010
Last updated
08/22/2016
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