Michele Dawn Dierkes, in Westlake, OH - Specialist/Technologist

Michele Dawn Dierkes, is a Specialist/technologist - Athletic Trainer based in Westlake, Ohio. Michele Dawn Dierkes is licensed to practice in Ohio (license number AT-002016) and her current practice location is 1300 Bobby Ln Apt 108, Westlake, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 692-1098.

NPI number for Michele Dawn Dierkes is 1114136876 and her current mailing address is 1300 Bobby Ln Apt 108, Westlake, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114136876.

Contact Information

	Michele Dawn Dierkes,
	1300 Bobby Ln Apt 108, Westlake, OH 44145-6911
	(330) 692-1098
	Not Available

Healthcare Provider's Profile

Full Name	Michele Dawn Dierkes
Gender	Female
Speciality	Specialist/technologist - Athletic Trainer
Location	1300 Bobby Ln Apt 108, Westlake, Ohio
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1114136876
Provider Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Michele Dawn Dierkes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114136876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-0010733 (Ohio)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	AT-002016 (Ohio)	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. Michele Dawn Dierkes 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
Michele Dawn Dierkes, 1300 Bobby Ln Apt 108, Westlake, OH 44145-6911 Ph: () -	Michele Dawn Dierkes, 1300 Bobby Ln Apt 108, Westlake, OH 44145-6911 Ph: (330) 692-1098

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Michele Dawn Dierkes, - in Westlake, OH