Individual
JOHNATHAN PAUL THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
25501 CHAGRIN BLVD, BEACHWOOD, OH 44122-5603
(216) 545-4800
Mailing address
7708 FAIRVIEW AVE, KIRTLAND, OH 44094-9245
(440) 867-8985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020866
OH
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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