Mariah Marie Diercks, PT, DPT

NPI #1659971554 in Red Wing, Minnesota

Provider Information

NPI Number: 1659971554
Entity Type: Individual
Name: Mariah Marie Diercks, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 29, 2020
Last Updated: Jan 23, 2024

Practice Location

Address: 701 HEWITT BLVD
City: Red Wing
State: Minnesota
ZIP Code: 55066-2848
Phone: (651) 267-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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