NPI 1063280816

Marcus Dickerson

Practitioner Massage Therapist Annapolis, MD

Practice location

Address: 207 Ridgely Ave, Annapolis, MD 21401-1379
Phone: (443) 788-1581

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence R03641 (MD)

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Registry record

NPI: 1063280816
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2023
Record last updated: 12 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.