NPI 1811458920

Kim Dietz, LMT

Practitioner Massage Therapist Sheboygan, WI

Practice location

Address: 4027 S Business Dr, Sheboygan, WI 53081-1261
Phone: (920) 207-4440
Mailing address: 2736 S 11th St, Sheboygan, WI 53081-6852

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14101146 (WI)

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Registry record

NPI: 1811458920
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2019
Record last updated: 29 Mar 2019

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.