Individual
ANNE HERRICK DIENEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RCST
Contact information
Practice address
2287 NW LOLO DR, BEND, OR 97703-7307
(541) 621-9337
Mailing address
2287 NW LOLO DR, BEND, OR 97703-7307
(541) 621-9337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5494
OR
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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