NPI 1427381045

Diane M Williamson, LMTCMCE

Practitioner Massage Therapist Park Ridge, IL

Practice location

Address: 15 N Prospect Ave, Park Ridge, IL 60068-3563
Phone: (847) 387-9445
Mailing address: 15 North Prospect Ave, Park Ridge, IL 60068

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.004157 (IL)

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Registry record

NPI: 1427381045
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2009
Record last updated: 9 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.