Individual provider · Type 1 NPI
Jeremy Dickerson, LMT
Massage Therapist · Milford, DE
NPI number
1114469202
Active
Practice location
5995 Williamsville Rd
Milford, DE 19963-6314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-0004366 (DE) |
Massage Therapist: 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.
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About NPI 1114469202
Jeremy Dickerson, LMT's National Provider Identifier is 1114469202, issued on Nov 7, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milford, DE. The record was last updated on Nov 7, 2016.