BRENDA DICKENSON LMT NPI 1255702239

NPI Information

  • NPI: 1255702239
  • Provider Name: BRENDA DICKENSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 5 WALL ST STE 101
    CLIFTON PARK, NY
    ZIP 12065
  • Phone: (315) 415-3791

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NPI Details

Brenda Dickenson, LMT is a massage therapist in Clifton Park, 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. Brenda Dickenson, LMT NPI is 1255702239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 WALL ST STE 101
CLIFTON PARK, NY
ZIP 12065-851
Phone: (315) 415-3791

The enumeration date for this NPI number is 10/15/2015 and was last updated on 12/4/2023.

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
1225700000XMassage Therapist028956NEW YORKYes

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: 11/21/2025

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