Ursula Anna Dieterle, PT is a 
Physical Therapist based in St Ignatius, Montana. Ursula Anna Dieterle is licensed to practice in Montana (license number 394PT) and her current practice location is 
#8 Mission Drive, St Ignatius, Montana. She can be reached at her office (for appointments etc.) via phone at 
(406) 745-2525.
NPI number for Ursula Anna Dieterle is 1154425452 and her current mailing address is P.o. Box 880, Mission Drive, St Ignatius, Montana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154425452.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Ursula Anna Dieterle | 
|---|
| Gender | Female | 
|---|
| Speciality | Physical Therapist | 
|---|
| Location | #8 Mission Drive, St Ignatius, Montana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1154425452
 - Provider Enumeration Date: 09/08/2006
 - Last Update Date: 07/16/2009
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Ursula Anna Dieterle such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1154425452 | NPI | - | NPPES | 
| 03-01605-2 | Other | MT | STATE FUND | 
| 60416 | Other | MT | BCBS | 
| 341598 | Medicaid | MT |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 225100000X | Physical Therapist  | 394PT (Montana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ursula Anna Dieterle is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Ursula Anna Dieterle, PT P.o. Box 880, Mission Drive, St Ignatius, MT 59865 Ph: (406) 745-3525 | Ursula Anna Dieterle, PT #8 Mission Drive, St Ignatius, MT 59865 Ph: (406) 745-2525 | 
		
		 
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