Dr. Ryan Richard Dietlein
Physical Therapist
203 Dilts Rd
Ithaca
, Michigan 48847-9475
Dr. Ryan Richard Dietlein
Physical Therapist
203 Dilts Rd
Ithaca
, Michigan 48847-9475
(989) 875-2225
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Dr. Ryan Richard Dietlein
- 203 Dilts Rd
- Ithaca, MI
- Zip : 48847-9475
- Fax : (989) 875-2225
- Phone : (989) 875-2266
Second Address
- Dr. Ryan Richard Dietlein
- 203 Dilts Rd
- Ithaca, MI
- Zip : 48847-9475
- Fax : (989) 875-2225
- Phone : (989) 875-2266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501016312 | MI |
National Provider Identifier
| NPI | 1003253352 |
|---|---|
| Provider Name | Dr. Ryan Richard Dietlein |
| First Address | Ithaca, MI 48847-9475 |
| Second Address | Ithaca, MI 48847-9475 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2013 |
| Last Update Date | 28/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5501016312 | LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.