Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUKE JON TIETZ, PT
ActivePhysical Therapy Assistant · NEW PRAGUE, MN
Registration Details
- NPI Number
- 1235707092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2021 (4.8979704046875 yrs)
- Last Updated
- Oct 30, 2023
- License
-
12255 (MN)
Practice Information
- Address
-
504 6TH AVE NWNEW PRAGUE, MN, 560711709Browse MN providers · Browse ZIP 56071
- Phone
- 9522578800
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NEW PRAGUE, MN
| Name | Credential | NPI |
|---|---|---|
| MR. ANDREW WILLIAM LARSON | PT | 1922109057 |
| MR. PAUL ARTHUR BERG JR. | PT | 1699875757 |
| COLLEEN AMBROZ | — | 1366506081 |
| DR. PETER PAUL LY | DPT | 1518405745 |
| STEPHANIE NICOLE GILL | — | 1467963272 |
| HEIDI BELL | DPT | 1699286385 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.