AUSTIN DEAN DIEDERICH

MANHATTAN, KS
NPI1265917827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-09-30
Last Update Date2018-09-30
Business Address
AUSTIN DEAN DIEDERICH
915 CLAFLIN RD
MANHATTAN, KS 66502-4610
Phone number: 785-747-8186
Mailing Address
AUSTIN DEAN DIEDERICH
2026 4TH RD
GREENLEAF, KS 66943-9410
Phone number: 785-747-8186