Individual
JANET L DIEDERICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
ONE OAKWOOD PARK, #106, CASTLE ROCK, CO 80104
(720) 434-8285
Mailing address
P.O. BOX 1518, IDAHO SPRINGS, CO 80452
(720) 434-8285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
04/22/2013
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