MRS. Holly Elizabeth Kietzman, PTA

NPI #1023296456 in Springfield, Illinois

Provider Information

NPI Number: 1023296456
Entity Type: Individual
Name: MRS. Holly Elizabeth Kietzman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 7, 2008
Last Updated: Feb 7, 2008

Practice Location

Address: 33 MIDLAND CT
City: Springfield
State: Illinois
ZIP Code: 62702-2939
Phone: (217) 789-9824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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