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

Mr. Matthew J Dicerbo

Individual provider Massage Therapist · NPI 1780354696

Mr. Matthew J Dicerbo is a Massage Therapist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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Practice location Address checks out

1210 Green Oaks Ln Apt J
Charlotte, NC 28205-8325
Phone: (704) 451-1403
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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 5427 (NC)

Record details

NPI number1780354696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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