ANGIE TIETSORT, LMP
Massage Therapist
Active
Individual
NPI: 1952766503
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | MA60613576 (WA) |
Frequently Asked Questions
NPI 1952766503 is the National Provider Identifier for ANGIE TIETSORT, LMP, a Massage Therapist provider located in Republic, WA. This NPI was enumerated on December 28, 2015.
ANGIE TIETSORT, LMP practices at 28 NORTH KELLER STREET, Republic, WA 99166.
Quick Facts
- NPI
- 1952766503
- Type
- Individual
- Enumerated
- Dec 28, 2015
- Last Updated
- Dec 28, 2015
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