MS. DIANE THERESE WILLIS LMT
NPI 1144857343
Massage Therapist in Pewaukee, WI

Q: What is Diane Willis's NPI number?

The NPI number for Diane Willis is 1144857343. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Diane Therese Glancey Willis Lmt.

Q: What is Diane Willis's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Willis was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2020

580 FOXTAIL DR APT 101, PEWAUKEE, WI 53072(262) 719-4349 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Diane Therese Willis Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANE THERESE WILLIS LMT (NPI 1144857343) is an individual massage therapist in Pewaukee, Wisconsin, licensed in Wisconsin (12802-146) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1144857343

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. DIANE THERESE WILLISCredential: LMT

Location Address580 FOXTAIL DR APT 101Pewaukee, WI 53072-2492

Mailing Address580 Foxtail Dr Apt 101Pewaukee, WI 53072-2492 · (262) 719-4349

Phone(262) 719-4349

Sole ProprietorNo

Enumeration DateMarch 26, 2020

NPPES CertifiedMarch 26, 2020

✔ NPI 1144857343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in WI · 12802-146

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.

580 FOXTAIL DR APT 101, Pewaukee, WI 53072

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Other Names 1

Other Name (5)Diane Therese Glancey Willis Lmt

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Willis's NPI number?

The NPI number for Diane Willis is 1144857343. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Diane Therese Glancey Willis Lmt.

Where is Diane Willis located?

Diane Willis practices at 580 Foxtail Dr Apt 101, Pewaukee, WI 53072. The listed phone number is (262) 719-4349.

What is Diane Willis's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Diane Willis was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.