Luke Jon Tietz, PT

NPI #1235707092 in New Prague, Minnesota

Provider Information

NPI Number: 1235707092
Entity Type: Individual
Name: Luke Jon Tietz, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 16, 2021
Last Updated: Oct 30, 2023

Practice Location

Address: 504 6TH AVE NW
City: New Prague
State: Minnesota
ZIP Code: 56071-1709
Phone: (952) 257-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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