Robert Tiedemann

NPI #1255210993 in Hutto, Texas

Provider Information

NPI Number: 1255210993
Entity Type: Individual
Name: Robert Tiedemann
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 28, 2025
Last Updated: Aug 28, 2025

Practice Location

Address: 120 ANDERSON ST
City: Hutto
State: Texas
ZIP Code: 78634-5318
Phone: (631) 655-8190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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