Individual
DIANA STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11515 BURNHAM DR NW, GIG HARBOR, WA 98332-8543
(253) 858-5152
Mailing address
3001 PARKINGTON PL SE, PORT ORCHARD, WA 98366-5770
(386) 288-3320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60566434
WA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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