Individual
MCKINZEY DIERKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
Mailing address
5202 CHESTNUT HLS, MORGANTOWN, WV 26505-0802
(740) 213-4488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004759
WV
225100000X
Physical Therapist
PT021086
OH
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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