1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Massage Therapist
  6. NPI Profile

DAMETA DIANE WILLIAMS MASTER ESTHETICIAN
NPI 1629677604
Massage Therapist in Fort Wayne, IN

Active since October 21, 2020
3525 LAKE AVE, FORT WAYNE, IN 46805(260) 201-2000 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dameta Diane Williams Master Esthetician NPPES

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

DAMETA DIANE WILLIAMS MASTER ESTHETICIAN (NPI 1629677604) is an individual massage therapist in Fort Wayne, Indiana and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1629677604
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDAMETA DIANE WILLIAMSCredential: MASTER ESTHETICIAN
Location Address3525 LAKE AVEFort Wayne, IN 46805-5599
Mailing Address478 Greenpointe PkwyFort Wayne, IN 46814-7611 · (260) 201-2000
Phone(260) 201-2000
Sole ProprietorYes
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1629677604 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
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.
3525 LAKE AVE, Fort Wayne, IN 46805
Open in Google Maps ↗

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 Dameta Williams's NPI number?

The NPI number for Dameta Williams is 1629677604. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Dameta Williams located?

Dameta Williams practices at 3525 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 201-2000.

What is Dameta Williams'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 Dameta Williams was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.