Provider Demographics
NPI:1902118391
Name:MAYS, DIANE L
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:L
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 ROLLING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9052
Mailing Address - Country:US
Mailing Address - Phone:724-832-1439
Mailing Address - Fax:
Practice Address - Street 1:965 ROLLING MEADOWS DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9052
Practice Address - Country:US
Practice Address - Phone:724-832-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist