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

Individual provider Physical Therapy Assistant · NPI 1215667084

Kimberly Slade Dietz, PTA is a Physical Therapy Assistant in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

10183 14th St N Apt 105
St Petersburg, FL 33716-4323
Phone: (361) 947-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (FL)

Record details

NPI number1215667084
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

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