Doctor Name: | BRENDA DICKENSON-NOTI |
NPI Number: | 1255702239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 028956 |
Business Practice Address: | 587 Main St Suite 126 New York Mills, NY - 134171481 |
Business Phone Number: | 3154153791 |
Business Fax Number: | 3157680929 |
Mailing Address: | 587 Main St, Suite 126 NEW YORK MILLS |
State: | NY |
Postal Code: | 134171481 |
Phone Number: | 3154153791 |
Fax Number: | 3157680929 |
NPI Enumeration Date: | 10/15/2015 |
NPI Last Update Date: | 10/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 028956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |