Individual
TODD ORIN DIERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1485 MAIN AVE, CLINTON, IA 52732-1976
(563) 212-7860
Mailing address
4651 155TH ST, CLINTON, IA 52732-9580
(563) 212-7860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006657
IA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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