STACIA NISSEN DIERKS

WEST DES MOINES, IA
NPI1376952036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  073738)
Enumeration Date2014-08-07
Last Update Date2014-09-11
Business Address
-- STACIA NISSEN DIERKS
3200 WESTOWN PKWY
WEST DES MOINES, IA 50266-1110
Phone number: 515-276-1212
Mailing Address
-- STACIA NISSEN DIERKS
1801 34TH ST
DES MOINES, IA 50310-5237
Phone number: 515-571-0640
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