Tietjen, Christina Jo

Tietjen, Christina Jo is an individual health care provider with primary practice located at 323 Sw 10Th St , Madison SD 57042-3200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tietjen, Christina Jo can be contacted via phone (605) 256-8915.

Contact Information

Primary practice address
323 Sw 10Th St Madison SD 57042-3200
Phone: (605) 256-8915
Fax: (605) 256-8983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1239 South Dakota

Profile Details

NPI number 1205888054
LBN Legal business name Tietjen, Christina Jo
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205888054 NPPES
South Dakota MEDICAID 5835470

Popular Providers