Individual
DIANA JEANNE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3113 S TAFT HILL RD, FORT COLLINS, CO 80526-2143
(970) 308-6283
Mailing address
4542 SEAWAY CIR, FORT COLLINS, CO 80525-3390
(970) 308-6283
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
0026589
CO
Other
Enumeration date
10/03/2019
Last updated
02/06/2026
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