Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE TIEDTKE, DPT
ActiveBLAKE TIEDTKE, DPT is a Physical Medicine & Rehabilitation healthcare provider located in CEDAR RAPIDS, Iowa. NPI 1922248566 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · CEDAR RAPIDS, IA
Registration Details
- NPI Number
- 1922248566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2009 (17.328986604189 yrs)
- Last Updated
- Mar 4, 2020
- License
-
004341 (IA)
Practice Information
- Address
-
645 32ND AVE SWSTE ACEDAR RAPIDS, IA, 524043907Browse IA providers · Browse ZIP 52404
- Phone
- 3193632901
- Fax
- 3193632903
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in CEDAR RAPIDS, IA
| Name | Credential | NPI |
|---|---|---|
| CRAIG A DOVE | D.O. | 1528045622 |
| SUNNY R KIM | MD | 1639146558 |
| ANGELA CHRISTINE MCCORMICK | P.T. | 1639197015 |
| JUDY JICINSKY | P.T. | 1871509224 |
| DR. STANLEY JOHN MATHEW | M.D. | 1003053653 |
| MR. DEVIN ROBERT HILAR SMITH | M.D. | 1306136197 |
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.