Individual
MICHELE DAWN DIERKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BOBBY LN APT 108, WESTLAKE, OH 44145-6911
(330) 692-1098
Mailing address
1300 BOBBY LN APT 108, WESTLAKE, OH 44145-6911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-0010733
OH
2255A2300X
Athletic Trainer
Primary
AT-002016
OH
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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