Individual
LAURA ELIZABETH TIETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT OCS
Contact information
Practice address
20325 N 51ST AVE, STE 146, GLENDALE, AZ 85308-5674
(623) 249-3216
(623) 249-3218
Mailing address
12917 W CAMPBELL AVE, LITCHFIELD PARK, AZ 85340-5183
(253) 228-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00298975
RAILROAD MEDICARE PTAN
AZ
Enumeration date
05/19/2006
Last updated
10/18/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us