Individual
LORI ANN BLUEMER-TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
402 W CANFIELD AVE, STE 5, COEUR D ALENE, ID 83815-7784
(208) 659-0750
(208) 772-0246
Mailing address
PO BOX 3138, HAYDEN, ID 83835-3138
(208) 659-0750
(208) 772-0246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1767
ID
Other
Enumeration date
06/14/2006
Last updated
06/23/2011
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