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
Address 4801 Crescent Dr, Shreveport, Louisiana
Phone Number 3184640553
Fax Number
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1902001076
Provider Enumeration Date 2007-06-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4801 Crescent Dr
City Shreveport
State Louisiana (LA)
Post Code 711061807
Phone Number 3184640553
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
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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FAQs about Dwight A Tietjen

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.

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