DR. Mike Todd Diede, ATC
NPI #1184699738 in Springville, Utah
Provider Information
- NPI Number
- 1184699738
- Entity Type
- Individual
- Name
- DR. Mike Todd Diede, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 17, 2006
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 2178 BRIDGER DR
- City
- Springville
- State
- Utah
- ZIP Code
- 84663-9469
- Phone
- (801) 422-2145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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