Individual
ASHTON MARIE DIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1200 W UNIVERSITY AVE, MITCHELL, SD 57301-4358
(605) 995-2600
Mailing address
117 S HIGH ST, MENNO, SD 57045-2170
(605) 660-7817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027403
SD
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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