Individual provider · Type 1 NPI
Ricky Charles Merriam, LMT
Massage Therapist · Dallas, TX
NPI number
1609351253
Active
Practice location
12700 Hillcrest Rd, Ste 125 #143
Dallas, TX 75230-2009
Other practice locations
- 12700 Hillcrest Rd Ste 125, Dallas, TX 75230-2009 · (469) 307-1729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 110566 (TX) |
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 1609351253
Ricky Charles Merriam, LMT's National Provider Identifier is 1609351253, issued on Sep 29, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, TX. The record was last updated on Sep 29, 2018.