Individual
JEREMY JAMES DEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
77043222401
UT
Other
Enumeration date
09/30/2010
Last updated
02/03/2021
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