Individual provider · Type 1 NPI
Steven R. Dickerson, LMT
Massage Therapist · Barbourville, KY
NPI number
1679872543
Active
Practice location
303 Daniel Boone Dr
Barbourville, KY 40906-1105
Mailing address
General Delivery
Hima, KY 40951-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | KY-1989 (KY) |
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 1679872543
Steven R. Dickerson, LMT's National Provider Identifier is 1679872543, issued on Mar 17, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Barbourville, KY. The record was last updated on Mar 17, 2011.