MRS. Jill Elizabeth Kienzle, LAT, ATC, MPA

NPI #1891237418 in Toledo, Iowa

Provider Information

NPI Number: 1891237418
Entity Type: Individual
Name: MRS. Jill Elizabeth Kienzle, LAT, ATC, MPA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist - Athletic Trainer
Credential: LAT, ATC, MPA
Enumeration Date: Nov 14, 2016
Last Updated: Nov 14, 2016

Practice Location

Address: 1307 S BROADWAY ST
City: Toledo
State: Iowa
ZIP Code: 52342-2307
Phone: (641) 484-5253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X	Primary

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