Provider Demographics
NPI:1750998258
Name:DIXON, ALANAH (LMT, CMMT)
Entity type:Individual
Prefix:MS
First Name:ALANAH
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:LMT, CMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 ROBERT LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5676
Mailing Address - Country:US
Mailing Address - Phone:240-206-1444
Mailing Address - Fax:
Practice Address - Street 1:14300 GALLANT FOX LN STE 118
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4031
Practice Address - Country:US
Practice Address - Phone:240-206-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT2520225700000X
MDM06967225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist