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

Individual provider Physical Therapist · NPI 1659971554

Mariah Marie Diercks, PT, DPT is a Physical Therapist in Red Wing, Minnesota. Works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone: (651) 267-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 Davis St, Hammond, WI 54015-9615 — (715) 796-2218

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12113 (MN)
Physical Therapist Taxonomy 225100000X · Licence 15269-24 (WI)

Record details

NPI number1659971554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

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