Individual
MATTHEW DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1080 POLARIS PKWY, COLUMBUS, OH 43240-6035
(614) 468-0282
Mailing address
1080 POLARIS PKWY, COLUMBUS, OH 43240-6035
(614) 468-0282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021271
OH
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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