Nicole A Deitrick, LMT

NPI #1184638447 in Palmetto, Florida

Provider Information

NPI Number: 1184638447
Entity Type: Individual
Name: Nicole A Deitrick, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jul 29, 2006
Last Updated: Sep 25, 2025

Practice Location

Address: 1415 10TH ST E
City: Palmetto
State: Florida
ZIP Code: 34221-4278
Phone: (941) 721-4559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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