ALYSSA CATHERINE TIEDENS

MAPLE GROVE, MN
NPI1346786761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  2859)
Enumeration Date2017-01-09
Last Update Date2017-04-25
Business Address
-- ALYSSA CATHERINE TIEDENS MS, ATC
9177 OAKVIEW LN N
MAPLE GROVE, MN 55369-6505
Phone number: 763-232-6394
Mailing Address
-- ALYSSA CATHERINE TIEDENS MS, ATC
501 OLD TOWN DRIVE
NEW BRIGHTON, MN 55112
Phone number: 763-232-6394