KIAMBU SULE DICKERSON LMT NPI 1336785997

NPI Information

NPI: 1336785997
Provider Name: KIAMBU SULE DICKERSON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
231 W 21ST ST # CC
NEW YORK, NY
ZIP 10011
Phone: (212) 213-8727
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Kiambu Sule Dickerson, LMT is a massage therapist in New York, NY. The provider is 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. Kiambu Sule Dickerson, LMT NPI is 1336785997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

231 W 21ST ST # CC
NEW YORK, NY
ZIP 10011-116
Phone: (212) 213-8727

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		013118	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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