Individual provider · Type 1 NPI

Alicia M. Dirksen, LMT

Massage Therapist · Springfield, IL

NPI number 1114502911 Active

Practice location

2536 Farragut Dr
Springfield, IL 62704-1540

Call (217) 971-7647 Map

Mailing address

2944 Flowerbrook Ct
Springfield, IL 62702-3321

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.021975 (IL)
Massage Therapist 225700000X53526 (CA)

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 1114502911

Alicia M. Dirksen, LMT's National Provider Identifier is 1114502911, issued on Mar 12, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Springfield, IL. The record was last updated on Mar 12, 2021.