Individual
HEATHER I DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CPT
Contact information
Practice address
3001 W 10TH ST UNIT 101A, PANAMA CITY, FL 32401-7404
(850) 774-1199
Mailing address
5012 KENDRICK ST, PANAMA CITY, FL 32404-6702
(850) 774-1199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA49528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009592107
AETNA
—
01
—
C6997
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/14/2007
Last updated
09/25/2013
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