Individual provider · Type 1 NPI
Crystal Rose Dietrich, CMT
Massage Therapist · Upsala, MN
NPI number
1396194056
Active
Practice location
204 Borgstrom St
Upsala, MN 56384-4501
Mailing address
PO Box 152
Upsala, MN 56384-0152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1396194056
Crystal Rose Dietrich, CMT's National Provider Identifier is 1396194056, issued on Jun 3, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Upsala, MN. The record was last updated on Jul 21, 2022.