| Cooper Vaughn Tietz, DPT | |
|
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
| (218) 846-2000 | |
| Not Available |
| Full Name | Cooper Vaughn Tietz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821873795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13278 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Vaughn Tietz, DPT Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Cooper Vaughn Tietz, DPT 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
Nicole Mazour, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Kelsey Wilberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Monica Kemper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Beth Sternhagen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Leah R Pettit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 | |
Patricia Marie Stalberger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Madison Ave, Detroit Lakes, MN 56501 Phone: 218-844-7119 | |
Heather A Kiebke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 |