Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA DIEDERICH
Active Sole ProprietorSAMANTHA DIEDERICH is a Massage Therapist healthcare provider located in FORT COLLINS, Colorado. NPI 1275997231 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FORT COLLINS, CO
Registration Details
- NPI Number
- 1275997231
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2016 (10.360436912488 yrs)
- Last Updated
- Apr 6, 2016
- License
-
0018745 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2601 S LEMAY AVESUITE 35FORT COLLINS, CO, 805252295Browse CO providers · Browse ZIP 80525
- Phone
- 9706822038
- Fax
- 9706822592
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| MR. DAVE HENLEY COLLINS | CMT | 1194895847 |
| MS. VICTORIA G SENDGRAFF | CMT | 1184781700 |
| MS. LANDA LEE | NCMT | 1912020611 |
| MISS TIFFANY KATE TAYLOR | CMT | 1861617532 |
| KAREN HANNON LAMOUREUX | CMT | 1730395021 |
| CAROL JOY MCDANIEL | LMT, HTCP, CRMP | 1407067630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.