THERESA M DICKERSON LMT, CBW
NPI 1689982613
Massage Therapist in Indianapolis, IN

Active since September 24, 2010
2625 N MERIDIAN ST, INDIANAPOLIS, IN 46208(678) 429-3197 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa M Dickerson Lmt, Cbw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA M DICKERSON LMT, CBW (NPI 1689982613) is an individual massage therapist in Indianapolis, Indiana, licensed in Indiana (MT20901976) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1689982613
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTHERESA M DICKERSONCredential: LMT, CBW
Location Address2625 N MERIDIAN STIndianapolis, IN 46208-7701
Mailing Address2002 Koehne StIndianapolis, IN 46202-1042 · (678) 429-3197
Sole ProprietorYes
Enumeration DateSeptember 24, 2010
NPI 1689982613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in IN · MT20901976
Definition
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.
Also ListedReflexologistTaxonomy 173C00000X · License MT20901976 (IN)
Also ListedSpecialist/TechnologistTaxonomy 225500000X · License MT20901976 (IN)
2625 N MERIDIAN ST, Indianapolis, IN 46208

Other Identifiers 1

OtherMT20901976IN · State License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
2625 N MERIDIAN ST, SUITE 18
INDIANAPOLIS, IN 46208
Psychologist
2625 N MERIDIAN ST, SUITE 18
INDIANAPOLIS, NE 46208
In Home Supportive Care
2625 N MERIDIAN ST, SUITE 157
INDIANAPOLIS, IN 46208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Dickerson's NPI number?

The NPI number for Theresa Dickerson is 1689982613. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Theresa Dickerson located?

Theresa Dickerson practices at 2625 N Meridian St, Indianapolis, IN 46208. The listed phone number is (678) 429-3197.

What is Theresa Dickerson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Theresa Dickerson was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.