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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FREDERICK MICHAEL DEDOLPH, LMT

Active Sole Proprietor

FREDERICK MICHAEL DEDOLPH, LMT is a Massage Therapist healthcare provider located in COLUMBIA, Maryland. NPI 1679291538 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · COLUMBIA, MD

Registration Details

NPI Number
1679291538
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2022 (3.9668603754624 yrs)
Last Updated
Sep 13, 2022
Licenses
MSG002338 (PA)
M05957 (MD)
Sole Proprietor
Yes

Practice Information

Address
5615 SUFFIELD CT
COLUMBIA, MD, 210442775
Browse MD providers · Browse ZIP 21044
Phone
4124777163
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in COLUMBIA, MD

Name Credential NPI
AHMED E ABDALLAH NCTMB 1073707808
KYLE ANDRE JULIO BAKER LMT 1144590217
TINA MARIE HICKSON LMT 1043561665
MR. STEPHEN MICHAEL CONTI LMT, BA 1366784316
MS. TERI NOFER 1619387669
RICHARD DAVID GAMBLE JR. RN, LMBT, LMT 1346605318
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.