Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dwight A Tietjen Jr., PT

Individual provider Physical Therapist · NPI 1902001076

Mr. Dwight A Tietjen Jr., PT is a Physical Therapist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4801 Crescent Dr
Shreveport, LA 71106-1807
Phone: (318) 464-0553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT118 (LA)

Record details

NPI number1902001076
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 19, 2007
Last updated in NPPESJuly 8, 2007

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