Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES RYAN DIETRICK, D.C.
Active Sole ProprietorJAMES RYAN DIETRICK, D.C. is a Sports Physician (Chiropractor) healthcare provider located in BIG RAPIDS, Michigan. NPI 1346601879 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · BIG RAPIDS, MI
Registration Details
- NPI Number
- 1346601879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2016 (10.247997543352 yrs)
- Last Updated
- Jul 9, 2019
- Licenses
-
2301010554 (MI)5702 (OR)2301010554 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14321 NORTHLAND DRSTE 1BIG RAPIDS, MI, 493072310Browse MI providers · Browse ZIP 49307
- Phone
- 2316298833
- Fax
- 2316298834
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
- Additional Specialty
- Chiropractor
- Additional Specialty
- Sports Physician (Chiropractor)
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.