Individual provider · Type 1 NPI

Stacia Nissen Dierks

Physical Therapy Assistant · West Des Moines, IA

NPI number 1376952036 Active

Practice location

3200 Westown Pkwy
West Des Moines, IA 50266-1110

Call (515) 276-1212 Map

Mailing address

1801 34th St
Des Moines, IA 50310-5237

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X073738 (IA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1376952036

Stacia Nissen Dierks's National Provider Identifier is 1376952036, issued on Aug 7, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in West Des Moines, IA. The record was last updated on Sep 11, 2014.