Lori Dickey, L.M.T.
Individual provider Active NPI Massage Therapist · Winona, MO
NPI 1295070951 · NPPES record last updated Dec 6, 2012
Key facts
- NPI
- 1295070951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2012026241 (MO)
- Practice address
- 311 JF Norton Pkwy
Winona, MO 65588 - Phone
- (417) 855-0902
- NPI assigned
- Dec 6, 2012
- 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 |
|---|---|---|---|
| 2012026241 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2012026241 | MO | Yes |
Addresses
Primary practice location
311 JF Norton Pkwy
Winona, MO 65588
Mailing address
PO Box 521
Winona, MO 65588-0521
Other providers in Winona, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2012. 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.