Provider Demographics
NPI:1659601144
Name:MCFARLAND, DIANA (LMT)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 NASSAU ST S STE 102
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-2358
Mailing Address - Country:US
Mailing Address - Phone:941-202-2116
Mailing Address - Fax:
Practice Address - Street 1:209 NASSAU ST S STE 102
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2358
Practice Address - Country:US
Practice Address - Phone:941-202-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11333225700000X
FLMA81570225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist