Individual
DR. AUSTIN DEAN DIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
708 N 18TH ST, MARYSVILLE, KS 66508-1338
(785) 562-4480
Mailing address
708 N 18TH ST, MARYSVILLE, KS 66508-1338
(785) 562-4480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1107150
KS
Other
Enumeration date
09/30/2018
Last updated
02/25/2025
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