Blake Tiedtke, DPT
NPI #1922248566 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1922248566
- Entity Type
- Individual
- Name
- Blake Tiedtke, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- DPT
- Enumeration Date
- Feb 23, 2009
- Last Updated
- Mar 4, 2020
Practice Location
- Address
- 645 32ND AVE SW
- Address 2
- STE A
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52404-3907
- Phone
- (319) 363-2901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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