DR. Kory David Tieman, PT, DPT

NPI #1376168005 in Peru, Illinois

Provider Information

NPI Number
1376168005
Entity Type
Individual
Name
DR. Kory David Tieman, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Jun 9, 2020
Last Updated
Sep 18, 2024

Practice Location

Address
1627 4TH ST
City
Peru
ZIP Code
61354-3507
Phone
(815) 223-4479

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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