Individual
SEAN TIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
1655 E SAN MARNAN DR STE A, WATERLOO, IA 50702-4380
(319) 433-4750
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005354
IA
225100000X
Physical Therapist
1241822
TX
Other
Enumeration date
04/15/2014
Last updated
04/15/2025
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