Individual
CRYSTAL ROSE DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
204 BORGSTROM ST, UPSALA, MN 56384-4501
(320) 733-0153
Mailing address
PO BOX 152, UPSALA, MN 56384-0152
(320) 733-0153
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
06/03/2016
Last updated
07/21/2022
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