Individual
KIARA TIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
915 SULLIVAN AVE STE 1, SOUTH WINDSOR, CT 06074-2165
(860) 432-7432
Mailing address
915 SULLIVAN AVE STE 1, SOUTH WINDSOR, CT 06074-2165
(860) 432-7432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002253
CT
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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