Kyle Phillip Dietrich, PA STUDENT
NPI #1932661352 in Pocatello, Idaho
Provider Information
- NPI Number
- 1932661352
- Entity Type
- Individual
- Name
- Kyle Phillip Dietrich, PA STUDENT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- PA STUDENT
- Enumeration Date
- Apr 3, 2019
- Last Updated
- May 5, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Student in an Organized Health Care Education/Training Program |
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