Maeselle Tissnolthtos La Paz

NPI #1033710629 in Cortez, Colorado

Provider Information

NPI Number: 1033710629
Entity Type: Individual
Name: Maeselle Tissnolthtos La Paz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 2, 2020
Last Updated: Sep 21, 2021

Practice Location

Address: 1280 N MILDRED RD
Address 2: STE 2
City: Cortez
State: Colorado
ZIP Code: 81321-2212
Phone: (970) 564-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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