Jeremy Dickerson, LMT

NPI #1114469202 in Milford, Delaware

Provider Information

NPI Number: 1114469202
Entity Type: Individual
Name: Jeremy Dickerson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 7, 2016
Last Updated: Nov 7, 2016

Practice Location

Address: 5995 WILLIAMSVILLE RD
City: Milford
State: Delaware
ZIP Code: 19963-6314
Phone: (302) 503-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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