Individual provider · Type 1 NPI
Taylor Dicob, LMT
Massage Therapist · Croghan, NY
NPI number
1487040796
Active
Practice location
6857 Convent St
Croghan, NY 13327-2802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 026916 (NY) |
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.
About NPI 1487040796
Taylor Dicob, LMT's National Provider Identifier is 1487040796, issued on Apr 13, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Croghan, NY. The record was last updated on Apr 13, 2015.