Diede, Mike Todd

Diede, Mike Todd is an sole proprietor health care provider with primary practice located at 2178 Bridger Dr , Springville UT 84663-9469. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Diede, Mike Todd can be contacted via phone (801) 422-2145.

Contact Information

Primary practice address
2178 Bridger Dr Springville UT 84663-9469
Phone: (801) 422-2145
Fax: (406) 422-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 6743304-4810 Utah

Profile Details

NPI number 1184699738
LBN Legal business name Diede, Mike Todd
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Sep 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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