# COREY DILLOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265033286
- **Gender:** Man
- **Credential:** LAC , LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 323918 | LA | Yes |
| 225700000X | Massage Therapist | LA9196 | LA | — |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 11/05/2020