Tietsort Chiropractic Clinic

NPI #1609179217 in Republic, Washington

Provider Information

NPI Number: 1609179217
Entity Type: Organization
Organization Name: Tietsort Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Dec 21, 2010
Last Updated: Dec 21, 2010

Practice Location

Address: 28 NORTH KELLER STREET
City: Republic
State: Washington
ZIP Code: 99166-0577
Phone: (509) 775-3321

Authorized Official

Name: DR. STEVEN TIETSORT, D.C.
Title: OWNER
Phone: (509) 775-3321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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