Individual provider · Type 1 NPI
Steven George Tietsort, DC
Chiropractor · Republic, WA
NPI number
1629108436
Active
Practice location
28 N Keller Street
Republic, WA 99166-0577
Fax (509) 775-3320
Mailing address
PO Box 577
Republic, WA 99166-0577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH00001288 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1629108436
Steven George Tietsort, DC's National Provider Identifier is 1629108436, issued on Mar 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Republic, WA. The record was last updated on Jul 8, 2007.