Individual
EMILY JAMES TIEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2751 NORTHGATE DR, IOWA CITY, IA 52245-9509
(319) 354-5114
(319) 354-0804
Mailing address
2401 TOWNCREST DR, IOWA CITY, IA 52240-6631
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004332
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
02/10/2009
Last updated
08/24/2009
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