Provider Demographics
NPI:1538425582
Name:SANGRAY, DARIAN MARIE (LMT)
Entity type:Individual
Prefix:MRS
First Name:DARIAN
Middle Name:MARIE
Last Name:SANGRAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MISS
Other - First Name:DARIAN
Other - Middle Name:MARIE
Other - Last Name:SANGRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:932 ASPEN ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-0704
Mailing Address - Country:US
Mailing Address - Phone:406-443-5510
Mailing Address - Fax:406-443-5513
Practice Address - Street 1:932 ASPEN ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-0704
Practice Address - Country:US
Practice Address - Phone:406-443-5510
Practice Address - Fax:406-443-5513
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-2001225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist