Individual
COLLIN J DIETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
21651 E COUNTRY VISTA DR STE F, LIBERTY LAKE, WA 99019-7709
(298) 610-5122
Mailing address
601 S WOODRUFF RD APT A302, SPOKANE VALLEY, WA 99206-3797
(208) 610-5122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS.MA.70085923
WA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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