Tory Theisen

NPI #1316107063 in Orange City, Iowa

Provider Information

NPI Number: 1316107063
Entity Type: Individual
Name: Tory Theisen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 16, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 1000 LINCOLN CIR SE
Address 2: SUITE 400
City: Orange City
State: Iowa
ZIP Code: 51041-1862
Phone: (712) 737-5234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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