Individual provider · Type 1 NPI
Nicole A. Deitrick, LMT
Specialist · Palmetto, FL
NPI number
1184638447
Active
Practice location
1415 10th St E
Palmetto, FL 34221-4278
Fax (941) 721-0142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA29664 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1184638447
Nicole A. Deitrick, LMT's National Provider Identifier is 1184638447, issued on Jul 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Palmetto, FL. The record was last updated on Sep 25, 2025.