Individual
MICHAEL DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
136 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO 80487
(970) 879-1828
Mailing address
1024 CENTRAL PARK DR, STEAMBOAT SPRINGS, CO 80487-8813
(970) 871-2370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014393
CO
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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