Doctor Name: | DIANE MARIE QUINN |
NPI Number: | 1548553266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00009082 |
Business Practice Address: | 13127 121st Way Ne #f Kirkland, WA - 980343051 |
Business Phone Number: | 4258238631 |
Business Fax Number: | 4258144731 |
Mailing Address: | 11711 Ne 12th St, #3a BELLEVUE |
State: | WA |
Postal Code: | 980052461 |
Phone Number: | 4252140020 |
Fax Number: | 4254520667 |
NPI Enumeration Date: | 05/27/2011 |
NPI Last Update Date: | 05/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00009082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |