NPI 1114469202

Jeremy Dickerson, LMT

Practitioner Massage Therapist Milford, DE

Practice location

Address: 5995 Williamsville Rd, Milford, DE 19963-6314
Phone: (302) 503-2580

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT-0004366 (DE)

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Registry record

NPI: 1114469202
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2016
Record last updated: 7 Nov 2016

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.