SearchIdaho171100000X

Augustus Pietsch, L.AC

NPI 1427224195 · on the registry since 2008 · sole proprietor

Practice

Address
6560 W Emerald St Ste 124
Boise, ID 83704
Phone
(208) 343-0112
Fax
(208) 323-9909
Clinicians at this address
3

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho