MR. Timothy Richard Theisen, PTA
NPI #1770959405 in Hutchinson, Minnesota
Provider Information
- NPI Number
- 1770959405
- Entity Type
- Individual
- Name
- MR. Timothy Richard Theisen, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 17, 2015
- Last Updated
- Aug 17, 2015
Practice Location
- Address
- 250 GAUGER ST NE
- City
- Hutchinson
- State
- Minnesota
- ZIP Code
- 55350-1707
- Phone
- (320) 583-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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