Individual
MRS. DIANA CASSANDRA STUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMP, CEIM
Contact information
Practice address
1709 GILES AVE NW, OLYMPIA, WA 98502-4733
(360) 561-2587
Mailing address
1709 GILES AVE NW, OLYMPIA, WA 98502-4733
(360) 561-2587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00025186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025186
WA STATE MASSAGE BOARD
WA
Enumeration date
03/29/2010
Last updated
06/11/2019
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