Tamara M Thiesen, PTA
Physical Therapy Assistant in Scribner, NE. Individual provider (NPI-1).
NPI number1023396751
StatusActive
Last updated in NPPESJul 29, 2011
Details
- NPI
- 1023396751
- Entity type
- Individual (NPI-1)
- Name
- Tamara M Thiesen
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2011
- Last updated
- Jul 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 759 | NE | Yes |
Practice location
815 Logan StScribner, NE 68057-3116
Phone 402-664-2389 · Fax 402-664-2399
Mailing address
815 Logan StScribner, NE 68057-3116
Phone 402-664-2389 · Fax 402-664-2399
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