Individual
AMANDA TUTTLE THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2620 EAGAN WOODS DR STE 200, EAGAN, MN 55121-1138
(651) 968-5230
(651) 994-3982
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6537
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00019025
RAILROAD MEDICARE
MN
Enumeration date
03/14/2006
Last updated
07/21/2022
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