Doctor Name: | CRAIG LESLIE THIELEN |
NPI Number: | 1942254719 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 00910 |
Business Practice Address: | 1731 W Ridgeway Ave Suite 600 Waterloo, IA - 507014594 |
Business Phone Number: | 3198335900 |
Business Fax Number: | 3198335901 |
Mailing Address: | Po Box 2758, WATERLOO |
State: | IA |
Postal Code: | 507042758 |
Phone Number: | 3198335900 |
Fax Number: | 3198335901 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |