Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER TIETSORT
Active Sole ProprietorMassage Therapist · CUSTER, SD
Registration Details
- NPI Number
- 1528442316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2015 (10.811567689999 yrs)
- Last Updated
- Jul 12, 2015
- License
-
MT10058 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
632 MOUNT RUSHMORE RDCUSTER, SD, 577302031Browse SD providers · Browse ZIP 57730
- Phone
- 6054400126
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CUSTER, SD
| Name | Credential | NPI |
|---|---|---|
| SHELLIA MARIE BENNETT | MASSAGE THERAPIST | 1245876093 |
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.