Provider Demographics
NPI:1710222781
Name:DAKHNIY, DIANNA (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:
Last Name:DAKHNIY
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:DAKHNIY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASSAGE THERAPY
Mailing Address - Street 1:800 N WELLS ST #3
Mailing Address - Street 2:NEW SCHOOL OF MASSAGE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:773-312-7192
Mailing Address - Fax:
Practice Address - Street 1:800 N WELLS ST #3
Practice Address - Street 2:NEW SCHOOL OF MASSAGE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610
Practice Address - Country:US
Practice Address - Phone:773-312-7192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227012258174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist