Individual
MS. DIANNE BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
945 3RD AVE SE STE 102, HICKORY, NC 28602-4036
(828) 328-3627
Mailing address
945 3RD AVE SE STE 102, HICKORY, NC 28602-4036
(828) 328-3627
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
2358
NC
225700000X
Massage Therapist
Primary
2358
NC
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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