Carter Dittmer, PTA

NPI #1922618305 in Independence, Missouri

Provider Information

NPI Number: 1922618305
Entity Type: Individual
Name: Carter Dittmer, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Jul 31, 2020
Last Updated: Jul 31, 2020

Practice Location

Address: 14500 E 42ND ST S STE 220
City: Independence
State: Missouri
ZIP Code: 64055-4700
Phone: (816) 478-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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