NPI 1376952036

Stacia Nissen Dierks

Practitioner Physical Therapy Assistant West Des Moines, IA

Practice location

Address: 3200 Westown Pkwy, West Des Moines, IA 50266-1110
Phone: (515) 276-1212
Mailing address: 1801 34th St, Des Moines, IA 50310-5237

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 073738 (IA)

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Registry record

NPI: 1376952036
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2014
Record last updated: 11 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.