Brenna Marie Kietzmann

NPI #1699324665 in Tonganoxie, Kansas

Provider Information

NPI Number: 1699324665
Entity Type: Individual
Name: Brenna Marie Kietzmann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 11, 2019
Last Updated: Sep 11, 2019

Practice Location

Address: 1198 FRONT ST
City: Tonganoxie
State: Kansas
ZIP Code: 66086-9707
Phone: (913) 417-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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