Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL ROSE DIETRICH, CMT
Active Sole ProprietorCRYSTAL ROSE DIETRICH, CMT is a Massage Therapist healthcare provider located in UPSALA, Minnesota. NPI 1396194056 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · UPSALA, MN
Registration Details
- NPI Number
- 1396194056
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2016 (10.172999688562 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 BORGSTROM STUPSALA, MN, 563844501Browse MN providers · Browse ZIP 56384
- Phone
- 3207330153
- Primary Specialty
-
Massage Therapist
225700000X
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.