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Contact Information

KEITH H DIERS, PT. DPT. ATC
11091 JASON AVE NW
SUITE 2
ALBERTVILLE, MN55301
 Phone: 763-744-4140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEITH H DIERS · (Male)

NPI Number 1184073157
Status Active
Credentials PT. DPT. ATC
Entity Individual
Enumeration date 06/09/2016
Last updated 02/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 10277
  • NM License # 4831
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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