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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIC THIELEN

Active Sole Proprietor

DOMINIC THIELEN is a Physical Therapy Assistant healthcare provider located in JEFFERSON, Iowa. NPI 1316397144 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JEFFERSON, IA

Registration Details

NPI Number
1316397144
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2016 (10.130161362081 yrs)
Last Updated
Dec 16, 2021
Licenses
PT-4458 (ID)
083240 (IA)
Sole Proprietor
Yes

Practice Information

Address
106 W WASHINGTON ST STE 2
JEFFERSON, IA, 501291920
Browse IA providers · Browse ZIP 50129
Phone
5153864192
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in JEFFERSON, IA

Name Credential NPI
DEBORAH MORTON 1639513385
ASHLEY FRIDAY 1861836488
ANDREA MICHAELSEN DPT 1891122305
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.