Angie Tietsort, LMP
NPI #1952766503 in Republic, Washington
Provider Information
- NPI Number
- 1952766503
- Entity Type
- Individual
- Name
- Angie Tietsort, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Dec 28, 2015
- Last Updated
- Dec 28, 2015
Practice Location
- Address
- 28 NORTH KELLER STREET
- City
- Republic
- State
- Washington
- ZIP Code
- 99166
- Phone
- (336) 250-8581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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