NPI 1679128359

David Tieman

Practitioner Mechanotherapist Draper, UT

Practice location

Address: 392 E 12300 S STE C, Draper, UT 84020-8043
Phone: (801) 784-3801
Mailing address: 1512 N Venetian Way, Saratoga Springs, UT 84045-3129

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X

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Registry record

NPI: 1679128359
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2019
Record last updated: 8 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.