Yvonne Joann Dixon, LMP
Individual provider Active NPI Massage Therapist · Othello, WA
NPI 1407196629 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1407196629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA 00021096 (WA)
- Practice address
- 15279 Road D SE
Othello, WA 99344-8105 - Phone
- (509) 750-0900
- NPI assigned
- Feb 25, 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 |
|---|---|---|---|
| MA 00021096 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 00021096 | WA | Yes |
Addresses
Primary practice location
15279 Road D SE
Othello, WA 99344-8105
Mailing address
15279 Road D SE
Othello, WA 99344-8105
Phone (509) 750-0900
Other providers in Othello, WA
- County of Adams
- County of Adams
- Brent Darrington
- Patrice A Dial
- Catherine Dinglasan
- Doheny Beach, LLC
- Christopher Ernest Dorow
- Ernest August Dorow
- Jordan Earl
- Stephanie Ann Easton
All providers in Othello, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 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.