Individual
DIANE RENE HUISINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1635 OLYMPIC HWY N, STE 100, SHELTON, WA 98584
(360) 426-8060
(360) 427-5819
Mailing address
71 E HAPPY HOME DR, BELFAIR, WA 98528
(360) 275-3845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182241
LABOR & INDUSTRIES
WA
Enumeration date
12/18/2006
Last updated
07/08/2007
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