Individual
CHRIS A GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
606 1ST ST NW, MANDAN, ND 58554-3121
(701) 667-0745
(701) 667-0707
Mailing address
606 1ST ST NW, MANDAN, ND 58554-3121
(701) 667-0745
(701) 667-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1383
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030477097
WORK FORCE SAFETY
ND
05
—
1463184
—
ND
05
—
54130
—
ND
01
—
650024893
PALMETTO GBA
—
Enumeration date
04/04/2006
Last updated
12/27/2021
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