Individual provider · Type 1 NPI
Tracy Dickerson, LMP, CHT
Massage Therapist · Bainbridge Island, WA
NPI number
1629391040
Active
Practice location
1802 Eagle Harbor Ln NE
Bainbridge Island, WA 98110-2142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 00009933 (WA) |
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 1629391040
Tracy Dickerson, LMP, CHT's National Provider Identifier is 1629391040, issued on Mar 12, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bainbridge Island, WA. The record was last updated on Mar 12, 2010.