Individual
RYAN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1681 COMMERCE DR, NORTH MANKATO, MN 56003-1913
(507) 322-3460
Mailing address
PO BOX 7197, ROCHESTER, MN 55903-7197
(507) 322-3460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13437
MN
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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