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ANGIE TIETSORT LMP
NPI 1952766503
Massage Therapist in Republic, WA

Active since December 28, 2015
28 NORTH KELLER STREET, REPUBLIC, WA 99166(336) 250-8581(509) 775-3320 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angie Tietsort Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE TIETSORT LMP (NPI 1952766503) is an individual massage therapist in Republic, Washington, licensed in Washington (MA60613576) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1952766503
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameANGIE TIETSORTCredential: LMP
Location Address28 NORTH KELLER STREETRepublic, WA 99166
Mailing Address4466 Colt WaySpringdale, WA 99173-5100 · (336) 250-8581 · Fax (509) 775-3320
Phone(336) 250-8581
Fax(509) 775-3320
Sole ProprietorYes
Enumeration DateDecember 28, 2015
✔ NPI 1952766503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60613576
Definition
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.
28 NORTH KELLER STREET, Republic, WA 99166
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIETSORT CHIROPRACTIC CLINIC
Chiropractor
28 NORTH KELLER STREET
REPUBLIC, WA 99166
Ferry County (509) 775-3321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angie Tietsort's NPI number?

The NPI number for Angie Tietsort is 1952766503. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Angie Tietsort located?

Angie Tietsort practices at 28 North Keller Street, Republic, WA 99166. The listed phone number is (336) 250-8581.

What is Angie Tietsort's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Angie Tietsort was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.