Diane M. Burgess, CMMP, LMT
Massage Therapist in Irving, TX. Individual provider (NPI-1).
NPI number1760601470
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760601470
- Entity type
- Individual (NPI-1)
- Name
- Diane M. Burgess
- Credential
- CMMP, LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT014585 | TX | Yes |
Practice location
1214 W Pioneer DrIrving, TX 75061-7308
Phone 214-507-1738 · Fax 972-790-5099
Mailing address
2226 Druid DrIrving, TX 75060-5011
Phone 214-507-1738 · Fax 972-790-5099
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All 27 Massage Therapist providers in Irving · All 5,366 providers in Irving
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