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

Robert Tiedemann

Individual provider Athletic Trainer · NPI 1255210993

Robert Tiedemann is an Athletic Trainer in Hutto, Texas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

120 Anderson St
Hutto, TX 78634-5318
Phone: (631) 655-8190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1255210993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address120 Anderson St, Hutto, TX 78634-5318

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