David Dietter, ATC
NPI #1194130310 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1194130310
- Entity Type
- Individual
- Name
- David Dietter, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 26, 2014
- Last Updated
- Jun 26, 2014
Practice Location
- Address
- 160 JAMERSON CTR
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24061-0001
- Phone
- (540) 231-7269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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