COOPER VAUGHN TIETZ

DETROIT LAKES, MN
NPI1821873795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  13278)
Enumeration Date2023-08-29
Last Update Date2024-09-05
Business Address
COOPER VAUGHN TIETZ DPT
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501-3905
Phone number: 218-846-2000
Mailing Address
COOPER VAUGHN TIETZ DPT
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585