Dwight A Tietjen in Shreveport - Physical Therapist
Dwight A Tietjen - NPI 1902001076
Dwight A Tietjen is a Physical Therapist in Shreveport, Louisiana. Dwight A Tietjen practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Dwight A Tietjen is 1902001076. The last update date is 2007-07-08.
Dwight A Tietjen's current location address is 4801 Crescent Dr, Shreveport, Louisiana. You can contact this provider via phone number 3184640553. The mailing address for Dwight A Tietjen is 4801 Crescent Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dwight A Tietjen |
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Address | 4801 Crescent Dr, Shreveport, Louisiana |
Phone Number | 3184640553 |
Fax Number | |
Sole Proprietor | Y |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1902001076 |
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Provider Enumeration Date | 2007-06-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4801 Crescent Dr |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711061807 |
Phone Number | 3184640553 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | PT118 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identifier code issued to Dwight A Tietjen by the Centers for Medicare & Medicaid Services?
The Dwight A Tietjen has been assigned the NPI (National Provider Identifier) 1902001076. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dwight A Tietjen is physically located?
The Dwight A Tietjen is physically situated at the following address: 4801 Crescent Dr, Shreveport, LA, 711061807.
What is Dwight A Tietjen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dwight A Tietjen is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Dwight A Tietjen receive the assignment of its 1902001076 from the Centers for Medicare & Medicaid Services?
The Dwight A Tietjen was issued its 1902001076 by the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date was the information regarding Dwight A Tietjen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dwight A Tietjen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.