TIETSORT CHIROPRACTIC CLINIC (NPI# 1609179217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609179217 |
| Entity Type | Organization |
| Organization Name | TIETSORT CHIROPRACTIC CLINIC |
| Practice Address |
28 North Keller Street Republic WA 99166-0577 |
| Mailing Address |
P.o. 577 Republic WA 99166-0577 |
| Practice Telephone | 5097753321 |
| Practice Fax Number | 5097753320 |
| Mailing Telephone | 5097753321 |
| Mailing Fax Number | 5097753320 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | DR. STEVEN TIETSORT (OWNER) |
| Authorized Official Telephone | 5097753321 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00001288 | WA | Chiropractic Providers |
| Street Address |
28 NORTH KELLER STREET |
| City | REPUBLIC |
| State | WA |
| Zip Code | 99166-0577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766503 | Angie Tietsort | Massage Therapist | 28 North Keller Street, Republic, WA 99166 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976593 | Rachel S Flesher | Doula | 143 N Kauffman St, Republic, WA 99166 | 2016-04-01 |
| 1144534959 | Ferry County Sheriff | Non-emergency Medical Transport (VAN) | 175 North Jefferson, Republic, WA 99166 | 2010-08-04 |
| 1558539734 | Barnaby David Denison | Adult Companion | 42 Klondike Road, Republic, WA 99166 | 2008-02-11 |
| 1205057387 | Robert Walter Hardwick Jr. | Dentist | 194 North Portland St., Republic, WA 99166 | 2007-05-02 |
| 1952438665 | Clara Denise Wisener | Massage Therapist | 720 S Clark Ave, Republic, WA 99166 | 2007-02-28 |
| 1356476477 | Ferry County Emergency Medical Service District 1 | Ambulance | 979 South Clark Ave, 205, Republic, WA 99166 | 2007-02-22 |
| 1457496184 | Ronald L Casebeer | Counselor | 65 North Keller Street, Republic, WA 99166 | 2007-02-20 |
| 1669562047 | Ferry County Counseling Services | Community/Behavioral Health | 147 N. Clark Ave #12, Republic, WA 99166 | 2006-10-13 |
| 1679049258 | Sarah Kw Spark | Counselor | 65 N Keller, Republic, WA 99166 | 2018-10-22 |
| 1174693089 | Robert Mark Slagle | Pharmacist | North 6 Clark St., Republic, WA 99166-0497 | 2006-11-08 |
| Find all providers in zip 99166 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1629391347 | Lucas Austin Burbridge | Chiropractor | 2932 Us Highway 60 E, Republic, MO 65738-9477 | 2010-03-09 |
| 1902013758 | Charise A Price | Chiropractor | 113 E Grant St, Republic, MO 65738-1336 | 2007-05-17 |
| 1629108436 | Steven George Tietsort | Chiropractor | 28 N Keller Street, Republic, WA 99166-0577 | 2007-03-07 |
| 1912045949 | Jennifer Kovach | Chiropractor | 1614 New Salem Road, Republic, PA 15475 | 2007-02-02 |
| 1619934395 | Joshua Wayne Vance | Chiropractor | 851 Colorado, Republic, MO 65738-8424 | 2006-04-27 |
| 1124011630 | Jonathan K Armstrong | Chiropractor | 851 S Colorado, Republic, MO 65738 | 2005-08-30 |
| 1538603238 | Intelligent Balance Chiropractic Spinal Care, Pllc | Chiropractor | 56 N Clark Ave, Unit 1, Republic, WA 99166-5024 | 2016-12-14 |
| 1700074317 | Vance Chiropractic, Inc | Chiropractor | 851 Colorado, Republic, MO 65738-8424 | 2007-10-09 |
| 1699732370 | Kari Lynne Vance | Chiropractor | 851 Colorado, Republic, MO 65738-8424 | 2006-04-27 |
| Find all providers in REPUBLIC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.