Individual
PIPER AMYRE DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE PRACTICIONER
Contact information
Practice address
91 VILLAGE WAY, PORT LUDLOW, WA 98365-9762
(360) 437-3798
Mailing address
PO BOX 65381, PORT LUDLOW, WA 98365-0381
(360) 437-3798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA11663
WA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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