MEDICARE: NATALIE DINGLEDINE LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	4937	SC

General Provider Information

NPI Number	:	1619624277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE DINGLEDINE LMT

Provider Business Mailing Address
First Line	:	239 DONINGTON DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-2412
Country	:	US
Telephone Number	:	864-386-1918
Fax Number	:

Provider Business Practice Location Address
First Line	:	4006 E NORTH ST
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-2347
Country	:	US
Telephone Number	:	864-386-1918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/03/2022

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Directions to “ NATALIE DINGLEDINE LMT” Practice Location

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