Healthcare Provider Details

I. General information

NPI: 1851215057
Provider Name (Legal Business Name): ARNOLD BANDU DIAKIESE LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 S MCCLELLAN ST UNIT 502
SEATTLE WA
98144-5439
US

IV. Provider business mailing address

2807 S MCCLELLAN ST UNIT 502
SEATTLE WA
98144-5439
US

V. Phone/Fax

Practice location:
  • Phone: 618-908-7042
  • Fax: 618-908-7042
Mailing address:
  • Phone: 618-908-7042
  • Fax: 618-908-7042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70139730
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: