Alicia M Dirksen, LMT

NPI #1114502911 in Springfield, Illinois

Provider Information

NPI Number: 1114502911
Entity Type: Individual
Name: Alicia M Dirksen, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 12, 2021
Last Updated: Mar 12, 2021

Practice Location

Address: 2536 FARRAGUT DR
City: Springfield
State: Illinois
ZIP Code: 62704-1540
Phone: (217) 971-7647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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