Individual provider · Type 1 NPI

Frederick Michael Dedolph, LMT

Massage Therapist · Columbia, MD

NPI number 1679291538 Active

Practice location

5615 Suffield Ct
Columbia, MD 21044-2775

Call (412) 477-7163 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMSG002338 (PA)
Massage Therapist Primary 225700000XM05957 (MD)

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 1679291538

Frederick Michael Dedolph, LMT's National Provider Identifier is 1679291538, issued on Aug 17, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MD. The record was last updated on Sep 13, 2022.