| Ryan Dietz, | |
|
1681 Commerce Dr, North Mankato, MN 56003-1913 | |
| (507) 322-3460 | |
| Not Available |
| Full Name | Ryan Dietz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1681 Commerce Dr, North Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154170165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13437 (Minnesota) | Primary |
| Provider Name | Activept, Corp. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124205604 PECOS PAC ID: 9931279932 Enrollment ID: O20080603000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Dietz, Po Box 7197, Rochester, MN 55903-7197 Ph: (507) 322-3460 | Ryan Dietz, 1681 Commerce Dr, North Mankato, MN 56003-1913 Ph: (507) 322-3460 |
Henry Byl, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Janelle Harding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-322-3460 | |
Ashlee Harriman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Jennifer Kuehner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Jeri Rowley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Kia Kuka, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1575 Hoover Dr, North Mankato, MN 56003 Phone: 507-720-6582 |