Doctor Name: | MRS. DIANA LYNN KOSINSKI-HEDRICK |
NPI Number: | 1124353495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 4397 |
Business Practice Address: | 446 Nw 3rd St Suite 200 Prineville, OR - 977541757 |
Business Phone Number: | 5414477230 |
Business Fax Number: | 5414477577 |
Mailing Address: | 446 Nw 3rd St, Suite 200 PRINEVILLE |
State: | OR |
Postal Code: | 977541757 |
Phone Number: | 5414477230 |
Fax Number: | 5414477577 |
NPI Enumeration Date: | 10/05/2009 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 4397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |