IndividualActive
Anthony Tiedemann
NPI 1538801709 · Health & Wellness Coach · Phoenix, AZ
Provider details
- NPI number
- 1538801709
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
806 S 56th Ave Ste 1b
Phoenix, AZ 85043-4630
Phone: (602) 429-0447
Approximate (ZIP-level) locationGet directions
Mailing address
806 S 56th Ave Ste 1b
Phoenix, AZ 85043-4630
Registry dates
- Enumerated
- 2022-04-08
- Last updated
- 2022-04-08
- Certified
- 2022-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.