Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENETTA J DICKERSON
Active Sole ProprietorGWENETTA J DICKERSON is a Massage Therapist healthcare provider located in COLLINSVILLE, Illinois. NPI 1730681800 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · COLLINSVILLE, IL
Registration Details
- NPI Number
- 1730681800
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2018 (8.4657563156685 yrs)
- Last Updated
- Mar 5, 2018
- License
-
227018739 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 EAGLE CRKCOLLINSVILLE, IL, 622344395Browse IL providers · Browse ZIP 62234
- Phone
- 3149336369
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in COLLINSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| ANGELINE AUBUCHON | — | 1275332678 |
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.