IndividualActive
Alicia Dirksen, LMT
NPI 1114502911 · Massage Therapist · Springfield, IL
Provider details
- NPI number
- 1114502911
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 227.021975 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2536 Farragut Dr
Springfield, IL 62704-1540
Phone: (217) 971-7647
Approximate (ZIP-level) locationGet directions
Mailing address
2944 Flowerbrook Ct
Springfield, IL 62702-3321
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.