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Mrs. Diana Lynn Blackwood, LMT
Massage Therapist in Clarksburg, West Virginia
NPI 1639309487

Diana Lynn Blackwood is a Massage Therapist based in Clarksburg, WV. Diana Lynn Blackwood practices in Clarksburg, WV and has the professional credentials of LMT. The NPI Number for Diana Lynn Blackwood is 1639309487 and holds a License No. 2009-2570 (West Virginia).

The current practice location address for Diana Lynn Blackwood is 111 S 4Th St, Clarksburg, WV and can be reached out via phone at 304-680-1580. You can also correspond with Diana Lynn Blackwood through the mailing address at 111 S 4TH ST, CLARKSBURG, WV - 26301-2801 (mailing address contact number: 304-680-1580).

Location: 111 S 4Th St, Clarksburg, WV, 26301-2801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639309487
Provider Name
Diana Lynn Blackwood
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
111 S 4Th St, Clarksburg, WV, 26301-2801
Phone Number
304-680-1580
Fax Number
Provider Enumeration Date
07/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S 4Th St
City
Clarksburg
State
West Virginia
Zip
26301-2801
Phone Number
304-680-1580
Fax Number
person
Provider Business Mailing Address Details
Address
111 S 4Th St
City
Clarksburg
State
West Virginia
Zip
26301-2801
Phone Number
304-680-1580
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2009-2570 (West Virginia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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