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

THERESA M DICKERSON, LMT, CBW

Active Sole Proprietor

Massage Therapist · INDIANAPOLIS, IN

Registration Details

NPI Number
1689982613
Provider Type
Individual
Gender
Female
NPI Issued
Sep 24, 2010 (15.575571477362 yrs)
Last Updated
Sep 24, 2010
Licenses
MT20901976 (IN)
MT20901976 (IN)
MT20901976 (IN)
Sole Proprietor
Yes

Practice Information

Address
2625 N MERIDIAN ST
INDIANAPOLIS, IN, 462087701
Browse IN providers · Browse ZIP 46208
Phone
6784293197
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Athletic Trainer
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in INDIANAPOLIS, IN

Name Credential NPI
MR. FRED J. FREEMAN ACBT 1588873004
MRS. MARILYN DAVIS 1902132772
KATHY BURGOA 1114249257
MRS. REGINA MATTHEWS 1447577747
ERIN BERNICE LEGROS MASSAGE THERAPIST 1215258264
LAUNDRA ANDOH 1053615922
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.