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NPI Code Detail

MEDICARE: LATONYA DAWN DYKES LMT

MEDICARE: LATONYA DAWN DYKES 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
1225700000XMassage TherapistNVMT.7203NV

General Provider Information

NPI Number : 1700233426
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATONYA DAWN DYKES LMT
Provider Business Mailing Address
First Line : 7735 COBDEN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5158
Country : US
Telephone Number : 239-851-3064
Fax Number :
Provider Business Practice Location Address
First Line : 7735 COBDEN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5158
Country : US
Telephone Number : 239-851-3064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2016
Last Update Date : 05/23/2016

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Directions to “ LATONYA DAWN DYKES LMT” Practice Location

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