ERIKA KIETZMAN

BLOOMINGTON, IL
NPI1508559311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.005666)
Enumeration Date2023-05-29
Last Update Date2023-05-29
Business Address
ERIKA KIETZMAN LAT, ATC
2406 E EMPIRE ST
BLOOMINGTON, IL 61704-3630
Phone number: 309-663-9300
Mailing Address
ERIKA KIETZMAN LAT, ATC
102 N ORR DR APT 2
NORMAL, IL 61761-1945
Phone number: 217-899-4139
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