| Doctor Name: | URSULA ANNA DIETERLE |
| NPI Number: | 1154425452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 394PT |
| Business Practice Address: | #8 Mission Drive St Ignatius, MT - 59865 |
| Business Phone Number: | 4067452525 |
| Business Fax Number: | 4067454233 |
| Mailing Address: | P.o. Box 880, Mission Drive ST IGNATIUS |
| State: | MT |
| Postal Code: | 59865 |
| Phone Number: | 4067453525 |
| Fax Number: | 4067454233 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 07/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 394PT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| 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 |