Individual provider · Type 1 NPI

Courtney Lyn Dickerson, L.M.T.

Massage Therapist · Salem, OR

NPI number 1912246497 Active

Practice location

1880 Lancaster Dr NE, 101, 102
Salem, OR 97305-1089

Call (503) 362-1002 Map

Mailing address

141 SE Ash St
Dallas, OR 97338-2504

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18742 (OR)

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 1912246497

Courtney Lyn Dickerson, L.M.T.'s National Provider Identifier is 1912246497, issued on Feb 4, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Feb 4, 2013.