Kristina Leigh Tidd

NPI 1790005213 - Physical Therapist - 225100000X

NPI Details
NPI 1790005213
Gender Female
Enumeration Date 06/07/2010
Last Updated 06/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3135 US HIGHWAY 41 W
MARQUETTE MI, 49855-9494, US
Phone (906) 225-5900
Fax (906) 225-5939
Business Location
MARQUETTE MI, 49855-4326, US
Phone (906) 225-5044
Fax (906) 225-5049
Taxonomy Code 225100000X
License State Michigan
License Number 5501006565
Remove 1790005213 NPI Number

According to our database, Kristina Leigh Tidd NPI is 1790005213, taxonomy code is 225100000X and license number is 5501006565, license state is located at Michigan. Kristina Leigh Tidd physically located at 3135 Us Highway 41 W, Marquette MI, 49855-9494. NPI Number Kristina Leigh Tidd has the Individual type.

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1790005213 NPI number is provided on an as is basis without warranty of any kind. 1790005213 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Leigh Tidd are for informational purposes only.