Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Henry Diers, PTDPTATC

Individual provider Physical Therapist · NPI 1184073157

Keith Henry Diers, PTDPTATC is a Physical Therapist in Albertville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and New Mexico.

Licensed in
MN, NM
In the registry since
2016
Specialties on file
2

Practice location Address checks out

11091 Jason Ave NW Ste 2
Albertville, MN 55301
Phone: (763) 744-4140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 10277 (MN)
Physical Therapist Taxonomy 225100000X · Licence 4831 (NM)

Record details

NPI number1184073157
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPTATC
Sole proprietorYes
NPI enumeratedJune 9, 2016
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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