Individual provider · Type 1 NPI

Marybeth Dyckes

Massage Therapist · St. Augustine, FL

NPI number 1750680591 Active

Practice location

165 Southpark Blvd, Suite C And D
St. Augustine, FL 32086-4101

Call (904) 823-8833 Map

Mailing address

130 13th St
St. Augustine, FL 32080-6362

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA58305 (FL)

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 1750680591

Marybeth Dyckes's National Provider Identifier is 1750680591, issued on Mar 18, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 18, 2011.