Cora Yvonne Dixon, LMT
Massage Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1366950321
StatusActive
Last updated in NPPESJan 11, 2018
Details
- NPI
- 1366950321
- Entity type
- Individual (NPI-1)
- Name
- Cora Yvonne Dixon
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2018
- Last updated
- Jan 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT106223 | TX | Yes |
Practice location
641 Cove Hollow DrDallas, TX 75224-5003
Phone 469-607-9952
Mailing address
641 Cove Hollow DrDallas, TX 75224-5003
Phone 469-607-9952
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