Female

Laurie J. Thiede PT-A

Physical Therapy Assistant in Sturgeon Bay, WI(View on Map)

Full Name

Laurie J. Thiede PT-A

NPI Number

1215028261

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/27/2006

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1316-019

Contact
Information

Purpose

Mailing
Location

Address

1300 EGG HARBOR RD
323 S 18TH AVE

City

Sturgeon Bay
Sturgeon Bay

State

WI
WI

Postal Code

54235-1277
54235-1401

Country

US
US

Telephone Number

(920) 746-0410
(920) 743-5566

Identifiers

Identifier

40249300

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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