Katie M Dietz, LMP

NPI #1376819458 in Post Falls, Idaho

Provider Information

NPI Number: 1376819458
Entity Type: Individual
Name: Katie M Dietz, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMP
Enumeration Date: Mar 22, 2012
Last Updated: Mar 22, 2012

Practice Location

Address: 605 N SHETLAND CT
City: Post Falls
State: Idaho
ZIP Code: 83854-5447
Phone: (208) 215-8140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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