Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dameta Diane Williams, MASTERESTHETICIAN

Individual provider Massage Therapist · NPI 1629677604

Dameta Diane Williams, MASTERESTHETICIAN is a Massage Therapist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020

Practice location Address checks out

3525 Lake Ave
Fort Wayne, IN 46805-5599
Phone: (260) 201-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X (IN)

Record details

NPI number1629677604
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTERESTHETICIAN
Sole proprietorYes
NPI enumeratedOctober 21, 2020
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Other providers in Fort Wayne