Lakisha M. Dickens
Massage Therapist
25012 104th Ave Se Ste C
Kent
, Washington 98030-2821
Lakisha M. Dickens
Massage Therapist
25012 104th Ave Se Ste C
Kent
, Washington 98030-2821
(630) 759-9510
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Lakisha M. Dickens
- 790 Remington Blvd
- Bolingbrook, IL
- Zip : 60440-4909
- Fax : (630) 759-9510
- Phone : (630) 296-2222
Second Address
- Lakisha M. Dickens
- 25012 104th Ave Se Ste C
- Kent, WA
- Zip : 98030-2821
- Fax : (253) 856-3478
- Phone : (253) 856-3477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60240321 | WA |
National Provider Identifier
| NPI | 1013284793 |
|---|---|
| Provider Name | Lakisha M. Dickens |
| First Address | Bolingbrook, IL 60440-4909 |
| Second Address | Kent, WA 98030-2821 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2011 |
| Last Update Date | 31/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.