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

Frederick Michael Dedolph, LMT

Individual provider Massage Therapist · NPI 1679291538

Frederick Michael Dedolph, LMT is a Massage Therapist in Columbia, Maryland. Practices as a sole proprietor. Licensed in Maryland and Pennsylvania.

Licensed in
MD, PA
In the registry since
2022
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

5615 Suffield Ct
Columbia, MD 21044-2775
Phone: (412) 477-7163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence M05957 (MD)
Massage Therapist Taxonomy 225700000X · Licence MSG002338 (PA)

Record details

NPI number1679291538
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 17, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address5615 Suffield Ct, Columbia, MD 21044-2775

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