Individual
PAIGE A DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
444 FOUR STATES DR, STE 1, GALENA, KS 66739-4324
(620) 783-4441
(620) 783-4090
Mailing address
444 FOUR STATES DR, STE 1, GALENA, KS 66739-4324
(620) 783-4441
(620) 783-4090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010028879
MO
Other
Enumeration date
04/04/2012
Last updated
05/25/2016
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