Provider Demographics
NPI:1740565571
Name:THIER, DIANE M (DPT)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:M
Last Name:THIER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:M
Other - Last Name:SCHWARTZHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:1629 MARJORIE CIR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2614
Mailing Address - Country:US
Mailing Address - Phone:563-542-3582
Mailing Address - Fax:
Practice Address - Street 1:350 N GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6388
Practice Address - Country:US
Practice Address - Phone:563-557-9618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist