Laura Elizabeth Tietjen, MPT OCS - Physical Therapist in Glendale, AZ

Laura Elizabeth Tietjen, MPT OCS is a Physical Therapist based in Glendale, Arizona. Laura Elizabeth Tietjen is licensed to practice in Arizona (license number 6773) and her current practice location is 20325 N 51st Ave, Ste 146, Glendale, Arizona. She can be reached at her office (for appointments etc.) via phone at (623) 249-3216.

NPI number for Laura Elizabeth Tietjen is 1023061074 and her current mailing address is 12917 W Campbell Ave, Litchfield Park, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023061074.

Contact Information

Laura Elizabeth Tietjen, MPT OCS
20325 N 51st Ave, Ste 146,
Glendale, AZ 85308-5674
(623) 249-3216
(623) 249-3218



Healthcare Provider's Profile

Full NameLaura Elizabeth Tietjen
GenderFemale
SpecialityPhysical Therapist
Location20325 N 51st Ave, Glendale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023061074
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 10/18/2010

Medical Identifiers

Medical identifiers for Laura Elizabeth Tietjen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023061074NPI-NPPES
P00298975OtherAZRAILROAD MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6773 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Elizabeth Tietjen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laura Elizabeth Tietjen, MPT OCS
12917 W Campbell Ave,
Litchfield Park, AZ 85340-5183

Ph: (253) 228-6828
Laura Elizabeth Tietjen, MPT OCS
20325 N 51st Ave, Ste 146,
Glendale, AZ 85308-5674

Ph: (623) 249-3216

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› Verified 2 days ago


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