Dickerson, Theresa M
Dickerson, Theresa M is an sole proprietor health care provider with primary practice located at 2625 N Meridian St , Indianapolis IN 46208-7701. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Reflexologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Dickerson, Theresa M can be contacted via phone (678) 429-3197.Contact Information
Primary practice address
2625 N Meridian St
Indianapolis IN 46208-7701
Phone: (678) 429-3197
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Reflexologist | 173C00000X | MT20901976 | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist | 225500000X | MT20901976 | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT20901976 | Indiana |
Profile Details
NPI number | 1689982613 |
---|---|
LBN Legal business name | Dickerson, Theresa M |
Credentials | LMT, CBW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 24th, 2010 |
Last updated | Sep 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689982613 | NPPES |
Indiana | Other | MT20901976 | STATE LICENSE |
Popular Providers
-
Legros, Erin Bernice
740 E 52Nd St Suite 12, Indianapolis IN 46205-1172 -
Matthews, Regina
6335 Waterstone Dr , Indianapolis IN 46268-4882 -
Flack, Rebecca Susan
7979 N Shadeland Ave Ste 350 , Indianapolis IN 46250-2042 -
Oskay, Alicia Frances
1330 E Naomi St , Indianapolis IN 46203-4032 -
Craft, Dainah R
3934 W 96Th St Suite A, Indianapolis IN 46268-2927 -
Williams-Moore, Edna Marie
2549 E 55Th Pl , Indianapolis IN 46220-3525 -
Burgoa, Kathy
7962 Oaklandon Rd Ste 106H , Indianapolis IN 46236 -
Thurn, Marisa Catherine
1301 Fletcher Ave , Indianapolis IN 46203-1140