Kirk Thiemann

NPI #1043689029 in Idaho Falls, Idaho

Provider Information

NPI Number: 1043689029
Entity Type: Individual
Name: Kirk Thiemann
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 19, 2015
Last Updated: Sep 19, 2015

Practice Location

Address: 115 E 16TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-5919
Phone: (208) 523-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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