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Individual

KEITH HENRY DIERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT. DPT. ATC

Contact information

Practice address
11091 JASON AVE NW, SUITE 2, ALBERTVILLE, MN 55301
(763) 744-4140
Mailing address
11091 JASON AVE NW, SUITE 2, ALBERTVILLE, MN 55301
(763) 744-4140

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4831
NM
2251X0800X
Orthopedic Physical Therapist
Primary
10277
MN

Other

Enumeration date
06/09/2016
Last updated
02/06/2020
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