DAVID DIETTER

BLACKSBURG, VA
NPI1194130310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000860)
Enumeration Date2014-06-26
Last Update Date2014-06-26
Business Address
-- DAVID DIETTER ATC
160 JAMERSON CTR
BLACKSBURG, VA 24061-0001
Phone number: 540-231-7269
Mailing Address
-- DAVID DIETTER ATC
160 JAMERSON CTR
BLACKSBURG, VA 24061-0001
Phone number: 540-231-7269
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