Kietzman, Holly Elizabeth

Kietzman, Holly Elizabeth is an individual health care provider with primary practice located at 33 Midland Ct , Springfield IL 62702-2939. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kietzman, Holly Elizabeth can be contacted via phone (217) 789-9824.

Contact Information

Primary practice address
33 Midland Ct Springfield IL 62702-2939
Phone: (217) 789-9824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X Illinois

Profile Details

NPI number 1023296456
LBN Legal business name Kietzman, Holly Elizabeth
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Feb 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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