Individual
SARAH PATRICE TIETSORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2549 JOLLY RD, SUITE 360, OKEMOS, MI 48864-3678
(517) 347-2222
(517) 347-2233
Mailing address
2549 JOLLY RD, SUITE 360, OKEMOS, MI 48864-3678
(517) 347-2222
(517) 347-2233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-00208
PHP OF MICHIGAN
MI
Enumeration date
04/11/2006
Last updated
04/01/2008
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