Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia M Dirksen, LMT

Individual provider Massage Therapist · NPI 1114502911

Alicia M Dirksen, LMT is a Massage Therapist in Springfield, Illinois. Practices as a sole proprietor. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2536 Farragut Dr
Springfield, IL 62704-1540
Phone: (217) 971-7647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.021975 (IL)
Massage Therapist Taxonomy 225700000X · Licence 53526 (CA)

Record details

NPI number1114502911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

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