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-- LORI ANN BLUEMER-TIERNEY -- MPT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1942243027
Provider Type
Individual Provider (NPI-1)
Credentials
MPT
Status
Active

Contact & Location

Address
402 W CANFIELD AVE STE 5, COEUR D ALENE, ID, 838157784
Phone
(208) 659-0750
Fax
(208) 772-0246

Specialties & Taxonomies

Physical Therapist Primary License: ID #PT1767

All Addresses

MAILING

PO BOX 3138

HAYDEN, ID, 838353138

(208) 659-0750

LOCATION

402 W CANFIELD AVE STE 5

COEUR D ALENE, ID, 838157784

(208) 659-0750