TIMOTHY RICHARD THEISEN

HUTCHINSON, MN
NPI1770959405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A249)
Enumeration Date2015-08-17
Last Update Date2015-08-17
Business Address
Mr. TIMOTHY RICHARD THEISEN PTA
250 GAUGER ST NE
HUTCHINSON, MN 55350-1707
Phone number: 320-583-0422
Mailing Address
Mr. TIMOTHY RICHARD THEISEN PTA
250 GAUGER ST NE
HUTCHINSON, MN 55350-1707
Phone number: 320-583-0422
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