JEREMY DICKERSON (NPI# 1114469202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114469202 |
| Entity Type | Individual |
| Full Name | JEREMY DICKERSON |
| Credential | LMT |
| Practice Address |
5995 Williamsville Rd Milford DE 19963-6314 |
| Practice Telephone | 3025032580 |
| Mailing Telephone | 3025032580 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-0004366 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208452 | Jeremy Dickerson | Registered Nurse | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2019-01-09 |
| 1043446206 | Jeremy Lee Dickerson | Family Medicine | 1139 E Sonterra Blvd Ste 205, San Antonio, TX 78258-4349 | 2009-06-02 |
| Street Address |
5995 WILLIAMSVILLE RD |
| City | MILFORD |
| State | DE |
| Zip Code | 19963-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
| 1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
| 1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
| 1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
| 1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
| 1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
| 1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
| 1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
| Find all providers in zip 19963 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991848 | Jillian Alexandra Marchenko | Massage Therapist | 43 Beachland Ave, Milford, CT 06460-7409 | 2020-10-28 |
| 1619486073 | Pattya Jean Ganjanathavat | Massage Therapist | 163 Broad St, Milford, CT 06460-4726 | 2017-09-28 |
| 1659809960 | W. Scott Blackson | Massage Therapist | 215 N Rehoboth Blvd, Milford, DE 19963-1303 | 2017-05-31 |
| 1518322742 | Jenny L Chiapparelli | Massage Therapist | 501 Broad St Ste 1, Milford, PA 18337-1532 | 2015-12-14 |
| 1063886547 | Sara Mcginnis | Massage Therapist | 335 E Huron St, Milford, MI 48381-2352 | 2015-11-20 |
| 1174991426 | Rose Napoli | Massage Therapist | 35 Earle St, Milford, CT 06460-7623 | 2015-09-03 |
| 1841695434 | Christi Keaveny | Massage Therapist | 800 N Milford Rd, Ste. 600, Milford, MI 48381-1597 | 2014-10-26 |
| 1508271735 | Lynn Thal | Massage Therapist | 962 Lila Ave, Milford, OH 45150-1683 | 2014-06-26 |
| 1598175291 | Paige Lauren Deiner | Massage Therapist | 626 Nw Front St, Milford, DE 19963-1033 | 2014-05-02 |
| 1154754919 | Christopher John Deldin | Massage Therapist | 64 Essex Dr, Milford, CT 06460-3811 | 2013-08-15 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.