| Doctor Name: | MICHELE DAWN DIERKES |
| NPI Number: | 1114136876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT-0010733 |
| Business Practice Address: | 1300 Bobby Ln Apt 108 Westlake, OH - 441456911 |
| Business Phone Number: | 3306921098 |
| Business Fax Number: | |
| Mailing Address: | 1300 Bobby Ln Apt 108, WESTLAKE |
| State: | OH |
| Postal Code: | 441456911 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-0010733 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |