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Theresa M Dickerson, LMT,CBW
Massage Therapist in Indianapolis, Indiana
NPI 1689982613

Theresa M Dickerson is a Massage Therapist based in Indianapolis, IN. Theresa M Dickerson practices in Indianapolis, IN and has the professional credentials of LMT,CBW. The NPI Number for Theresa M Dickerson is 1689982613 and holds a License No. MT20901976 (Indiana).

The current practice location address for Theresa M Dickerson is 2625 N Meridian St, Indianapolis, IN and can be reached out via phone at 678-429-3197.

Location: 2625 N Meridian St, Indianapolis, IN, 46202-1042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689982613
Provider Name
Theresa M Dickerson
Credential
LMT,CBW
Provider Entity Type
Individual
Gender
Female
Address
2625 N Meridian St, Indianapolis, IN, 46202-1042
Phone Number
678-429-3197
Fax Number
Provider Enumeration Date
09/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT20901976 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2625 N Meridian St
City
Indianapolis
State
Indiana
Zip
46208-7701
Phone Number
678-429-3197
Fax Number
person
Provider Business Mailing Address Details
Address
2625 N Meridian St
City
Indianapolis
State
Indiana
Zip
46208-7701
Phone Number
678-429-3197
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Reflexologist
Speciality
-
Taxonomy
173C00000X
License No.
MT20901976 (Indiana)
Definition
Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears. Reflexologists apply pressure to specific areas (feet, hands, and ears) to promote a response from an area far removed from the tissue stimulated via the nervous system and acupuncture meridians. Reflexologists are recommended to complete a minimum of 200 hours of education, typically including anatomy & physiology, Reflexology theory, body systems, zones, meridians & relaxation response, ethics, business standards, and supervised practicum.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
225500000X
License No.
MT20901976 (Indiana)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT20901976 (Indiana)
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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