Individual
CODY ALAN DIETERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 EVERGREEN PARK DR SW STE C4, OLYMPIA, WA 98502-6007
(360) 851-1802
Mailing address
3424 SUNSET BEACH DR NW, OLYMPIA, WA 98502-3534
(360) 851-1802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA70058976
WA
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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