Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGIE TIETSORT, LMP
Active Sole ProprietorANGIE TIETSORT, LMP is a Massage Therapist healthcare provider located in REPUBLIC, Washington. NPI 1952766503 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · REPUBLIC, WA
Registration Details
- NPI Number
- 1952766503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2015 (10.611591553036 yrs)
- Last Updated
- Dec 28, 2015
- License
-
MA60613576 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 NORTH KELLER STREETREPUBLIC, WA, 99166Browse WA providers · Browse ZIP 99166
- Phone
- 3362508581
- Fax
- 5097753320
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in REPUBLIC, WA
| Name | Credential | NPI |
|---|---|---|
| CLARA DENISE WISENER | LMP | 1952438665 |
| LINDSAY R HENDERSON | LMT | 1104708379 |
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.