SHAYLEE BREANN DIEDIKER

PITTSBURG, KS
NPI1982294484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03630)
Enumeration Date2021-01-19
Last Update Date2021-01-19
Business Address
SHAYLEE BREANN DIEDIKER
1502 E CENTENNIAL DR
PITTSBURG, KS 66762-6718
Phone number: 620-235-0020
Mailing Address
SHAYLEE BREANN DIEDIKER
16820 HIGHWAY 146
ERIE, KS 66733-4185
Phone number: 620-605-8860