Provider Demographics
NPI:1770344301
Name:AMEY, DIANA (LMT, APMT)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:AMEY
Suffix:
Gender:F
Credentials:LMT, APMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 ROCKEFELLER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3541
Mailing Address - Country:US
Mailing Address - Phone:316-253-9578
Mailing Address - Fax:
Practice Address - Street 1:2809 ROCKEFELLER AVE STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3541
Practice Address - Country:US
Practice Address - Phone:316-253-9578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60835851225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist