DIANE WALLACE KOSHLAND (NPI# 1124391545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124391545 |
| Entity Type | Individual |
| Full Name | DIANE WALLACE KOSHLAND |
| Credential | C.M.T |
| Practice Address |
828 San Pablo Ave Ste 104 Albany CA 94706-1678 |
| Practice Telephone | 9259631405 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10396 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
828 SAN PABLO AVE STE 104 |
| City | ALBANY |
| State | CA |
| Zip Code | 94706-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1881250181 | Joan Marie Bernier | Speech-Language Pathologist | 622 Talbot Ave, Albany, CA 94706 | 2019-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1316480130 | Junghi Lee | Acupuncturist | 411 Cornell Avenue Apt12, Albany, CA 94706 | 2016-11-28 |
| 1356702294 | Albany Physical Therapy A Professional Corporation | Physical Therapist | 948 San Pablo Avenue, Albany, CA 94706 | 2016-03-18 |
| 1437430592 | Olga Olina Rule | Marriage & Family Therapist | 828 San Pablo Ave., Ste 216 B, Albany, CA 94706 | 2011-09-02 |
| 1316246820 | Christine Gocke | Acupuncturist | 1285 Gilman St, Berkeley, CA 94706 | 2011-03-23 |
| 1750699393 | Barbara Helen Howell | Marriage & Family Therapist | 828 San Pablo Ave Ste 120a, Albany, CA 94706 | 2010-09-16 |
| 1225349954 | Shahin Tabibzadeh | Social Worker | 555 Pierce Street #704, Albany, CA 94706 | 2010-06-28 |
| 1215269089 | Ginny Howe | Chiropractor | 1500 Oak View Avenue, Kensington, CA 94706 | 2010-02-04 |
| Find all providers in zip 94706 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1205433323 | Audrey M Murphy | Massage Therapist | 214 S Washington St, Albany, KY 42602-1226 | 2020-10-01 |
| 1023621208 | Latoya Walker | Massage Therapist | 8 Park Hl Apt 9, Albany, NY 12204-2106 | 2020-08-26 |
| 1851959795 | Melissa Dillenbeck-murphy | Massage Therapist | 3315 Ermine St Se, Albany, OR 97322-5941 | 2019-06-05 |
| 1174087589 | Mary Theresa Nolan | Massage Therapist | 3523 Pacific Blvd Sw, Albany, OR 97321-7727 | 2019-01-30 |
| 1265918593 | Nicole Hedlund | Massage Therapist | 2708 Hill St Se, Albany, OR 97322-4269 | 2018-07-19 |
| 1144715392 | Jennifer Leigh Stimpson | Massage Therapist | 3147 Ne Nehalem Ave, Albany, OR 97321-9032 | 2018-06-28 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1245789684 | Dominic Permanente | Massage Therapist | 1201 Hilltop Dr, Albany, GA 31707-3364 | 2016-09-27 |
| 1639539547 | Vickie Lee Pruitt | Massage Therapist | 921 3rd Ave Se, Albany, OR 97321-3055 | 2016-03-04 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.