NPI 1528442316 JENNIFER TIETSORT CUSTER SD. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jennifer Tietsort - NPI: 1528442316

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JENNIFER TIETSORT
NPI Number: 1528442316
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: MT10058
Business Practice Address: 632 Mount Rushmore Rd
Custer, SD - 577302031
Business Phone Number: 6054400126
Business Fax Number:
Mailing Address: 632 Mount Rushmore Rd,
CUSTER
State: SD
Postal Code: 577302031
Phone Number: 6054400126
Fax Number:
NPI Enumeration Date: 07/12/2015
NPI Last Update Date: 07/12/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: MT10058
Healthcare Provider Taxonomy:
(Secondary)
Y
State: SD
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Massage Therapist
Taxonomy Specialization:
Taxonomy Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.


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