Tessa Dixon, LMT
Individual provider Active NPI Massage Therapist · Albright, WV
NPI 1124464433 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1124464433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2010-2712 (WV)
- Practice address
- 3953 Coal Lick Rd
Albright, WV 26519-7617 - Phone
- (304) 329-0639
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-2712 | WV | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2010-2712 | WV | Yes |
Addresses
Primary practice location
3953 Coal Lick Rd
Albright, WV 26519-7617
Mailing address
3953 Coal Lick Rd
Albright, WV 26519-7617
Phone (304) 329-0639
Other providers in Albright, WV
- Tonya Renee Blaney
- Lewis Blosser
- Rhonda Blosser
- Joey Shannon Braham
- Jody Lea Deavers
- Alissa Ponzurick Dumire
- Alyssa Duncan
- Fallon Duncan
- Marion Graham
- Samantha Lenell Knotts
All providers in Albright, WV · Massage Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.