Organization
TIETSORT CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN TIETSORT D.C. (OWNER)
(509) 775-3321
Entity
Organization
Contact information
Practice address
28 NORTH KELLER STREET, REPUBLIC, WA 99166-0577
(509) 775-3321
(509) 775-3320
Mailing address
P.O. 577, REPUBLIC, WA 99166-0577
(509) 775-3321
(509) 775-3320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001288
WA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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