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

JULIE TIEDGEN, PT

Active

JULIE TIEDGEN, PT is a Physical Therapy Assistant healthcare provider located in EAST GRAND RAPIDS, Michigan. NPI 1720582554 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EAST GRAND RAPIDS, MI

Registration Details

NPI Number
1720582554
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2018 (8.4192891105708 yrs)
Last Updated
Mar 19, 2018
License
5501011134 (MI)

Practice Information

Address
2249 WEALTHY ST SE STE 120
EAST GRAND RAPIDS, MI, 495063052
Browse MI providers · Browse ZIP 49506
Phone
6163914650
Fax
6164860134
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in EAST GRAND RAPIDS, MI

Name Credential NPI
MR. TERENCE RODERICK REUBEN PT 1346516440
SANDRA MICHELLE MILES-ROLO PT 1023511854
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.