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

Individual provider Reflexologist · NPI 1689982613

Theresa M Dickerson, LMT, CBW is a Reflexologist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2010
Specialties on file
3
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2625 N Meridian St
Indianapolis, IN 46208-7701
Phone: (678) 429-3197
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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 MT20901976 (IN)
Reflexologist Taxonomy 173C00000X · Licence MT20901976 (IN)
Respiratory/Developmental/Rehabilitative Specialist/Technologist Taxonomy 225500000X · Licence MT20901976 (IN)

Record details

NPI number1689982613
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , CBW
Sole proprietorYes
NPI enumeratedSeptember 24, 2010
Last updated in NPPESSeptember 24, 2010

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