ANGIE TIETSORT LMP NPI 1952766503

NPI Information

  • NPI: 1952766503
  • Provider Name: ANGIE TIETSORT, LMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 28 NORTH KELLER STREET
    REPUBLIC, WA
    ZIP 99166
  • Phone: (336) 250-8581

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NPI Details

Angie Tietsort, LMP is a massage therapist in Republic, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Angie Tietsort, LMP NPI is 1952766503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28 NORTH KELLER STREET
REPUBLIC, WA
ZIP 99166
Phone: (336) 250-8581
Fax: (509) 775-3320

The enumeration date for this NPI number is 12/28/2015 and was last updated on 12/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA60613576WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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