Individual provider · Type 1 NPI

Kim Dietz, LMT

Massage Therapist · Sheboygan, WI

NPI number 1811458920 Active

Practice location

4027 S Business Dr
Sheboygan, WI 53081-1261

Call (920) 207-4440 Map

Mailing address

2736 S 11th St
Sheboygan, WI 53081-6852

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14101146 (WI)

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.

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About NPI 1811458920

Kim Dietz, LMT's National Provider Identifier is 1811458920, issued on Mar 29, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sheboygan, WI. The record was last updated on Mar 29, 2019.