Healthcare Provider Details

I. General information

NPI: 1568387561
Provider Name (Legal Business Name): DAWN M HART LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14591 RUSSELL RD
BRIDGEVILLE DE
19933-4268
US

IV. Provider business mailing address

14591 RUSSELL RD
BRIDGEVILLE DE
19933-4268
US

V. Phone/Fax

Practice location:
  • Phone: 302-495-9913
  • Fax:
Mailing address:
  • Phone: 302-495-9913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-0015279
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: