Individual
KIRSCHE DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1702 VIRGINIA AVE APT B, AUSTIN, TX 78704-1452
(512) 568-8300
Mailing address
1702 VIRGINIA AVE APT B, AUSTIN, TX 78704-1452
(512) 568-8300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109476
TX
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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