Individual
MR. DENNY DISMUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2000 15TH ST, MERIDIAN, MS 39301-4138
(601) 697-6748
Mailing address
182 WILBUR RD, HICKORY, MS 39332-3198
(601) 697-6748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT2347
MS
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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