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Alicia M Dirksen, LMT
Massage Therapist in Springfield, Illinois
NPI 1114502911

Alicia M Dirksen is a Massage Therapist based in Springfield, IL. Alicia M Dirksen practices in Springfield, IL and has the professional credentials of LMT. The NPI Number for Alicia M Dirksen is 1114502911 and holds a License No. 227.021975 (Illinois).

The current practice location address for Alicia M Dirksen is 2536 Farragut Dr, Springfield, IL and can be reached out via phone at 217-971-7647.

Location: 2536 Farragut Dr, Springfield, IL, 62702-3321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114502911
Provider Name
Alicia M Dirksen
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2536 Farragut Dr, Springfield, IL, 62702-3321
Phone Number
217-971-7647
Fax Number
Provider Enumeration Date
03/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2536 Farragut Dr
City
Springfield
State
Illinois
Zip
62704-1540
Phone Number
217-971-7647
Fax Number
person
Provider Business Mailing Address Details
Address
2536 Farragut Dr
City
Springfield
State
Illinois
Zip
62704-1540
Phone Number
217-971-7647
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.021975 (Illinois)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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