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

Kirk Lewis Deitrick

Individual provider Physical Therapy Assistant · NPI 1922519883

Kirk Lewis Deitrick is a Physical Therapy Assistant in Anaheim, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

215 N State College Blvd Ste G
Anaheim, CA 92806-2932
Phone: (714) 999-6596
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 48943 (CA)
Physical Therapy Assistant Taxonomy 225200000X

Record details

NPI number1922519883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESOctober 18, 2017
Mailing address4938 Oak Tree Ct, Yorba Linda, CA 92886-2549

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