Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY A DIEDERICH, PT
ActiveKELSEY A DIEDERICH, PT is a Physical Therapy Assistant healthcare provider located in ST CLOUD, Minnesota. NPI 1477092971 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ST CLOUD, MN
Registration Details
- NPI Number
- 1477092971
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2017 (9.5049718563858 yrs)
- Last Updated
- Jul 6, 2018
- License
-
9786 (MN)
Practice Information
- Address
-
ST CLOUD HOSPITAL1406 6TH AVENUE NORTHST CLOUD, MN, 563031901Browse MN providers · Browse ZIP 56303
- Phone
- 3202512700
- Fax
- 3206567115
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ST CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| FILIP LEE JOHNSON | P.T. | 1023036043 |
| JULIA DAWN VELTRI NOONAN | DPT | 1205198751 |
| DOUGLAS STICHA | PT | 1154860740 |
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.