Thielen, Amanda Tuttle

Thielen, Amanda Tuttle is an individual health care provider with primary practice located at 2620 Eagan Woods Dr Ste 200 , Eagan MN 55121-1138. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Thielen, Amanda Tuttle can be contacted via phone (651) 968-5230.

Contact Information

Primary practice address
2620 Eagan Woods Dr Ste 200 Eagan MN 55121-1138
Fax: (651) 994-3982
Website:

Health care specialties

Profile Details

NPI number 1265401269
LBN Legal business name Thielen, Amanda Tuttle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265401269 NPPES
Minnesota Other P00019025 RAILROAD MEDICARE

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