Shaylee Breann Diediker

NPI #1982294484 in Neodesha, Kansas

Provider Information

NPI Number: 1982294484
Entity Type: Individual
Name: Shaylee Breann Diediker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 19, 2021
Last Updated: Dec 1, 2022

Practice Location

Address: 2600 OTTAWA RD
City: Neodesha
State: Kansas
ZIP Code: 66757-1897
Phone: (620) 325-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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