Paige A Dierks, PTA

NPI #1619233574 in Galena, Kansas

Provider Information

NPI Number: 1619233574
Entity Type: Individual
Name: Paige A Dierks, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 4, 2012
Last Updated: May 25, 2016

Practice Location

Address: 444 FOUR STATES DR
Address 2: STE 1
City: Galena
State: Kansas
ZIP Code: 66739-4324
Phone: (620) 783-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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