person
Angie Tietsort, LMP
Massage Therapist in Republic, Washington
NPI 1952766503

Angie Tietsort is a Massage Therapist based in Springdale, WA. Angie Tietsort practices in Republic, WA and has the professional credentials of LMP. The NPI Number for Angie Tietsort is 1952766503 and holds a License No. MA60613576 (Washington).

The current practice location address for Angie Tietsort is 28 North Keller Street, Republic, WA and can be reached out via phone at 336-250-8581 and via fax at 509-775-3320.

Location: 28 North Keller Street, Republic, WA, 99173-5100
person
Provider Profile Details
NPI Number
1952766503
Provider Name
Angie Tietsort
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
28 North Keller Street, Republic, WA, 99173-5100
Phone Number
336-250-8581
Fax Number
509-775-3320
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28 North Keller Street
City
State
Zip
99166
Phone Number
336-250-8581
Fax Number
509-775-3320
person
Provider Business Mailing Address Details
Address
28 North Keller Street
City
State
Zip
99166
Phone Number
336-250-8581
Fax Number
509-775-3320
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA60613576 (Washington)
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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