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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIKA KIETZMAN, LAT, ATC

Active

ERIKA KIETZMAN, LAT, ATC is a Athletic Trainer healthcare provider located in BLOOMINGTON, Illinois. NPI 1508559311 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BLOOMINGTON, IL

Registration Details

NPI Number
1508559311
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2023 (3.1701621887357 yrs)
Last Updated
May 29, 2023
License
096.005666 (IL)

Practice Information

Address
2406 E EMPIRE ST
BLOOMINGTON, IL, 617043630
Browse IL providers · Browse ZIP 61704
Phone
3096639300
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BLOOMINGTON, IL

Name Credential NPI
MR. JEFFREY A. BURK 1972593515
DR. WILLIAM ALLEN KAUTH ED.D. , ATC, CSCS 1154394393
MRS. EMILY ANN MILLER M.S., ATC, CSCS 1881667632
NANCY MCCRISKIN ATC/L 1023079357
MR. JEFFREY A PROBST ATC 1538351366
MS. HOLLY D WICKENHAUSER ATC 1659546422
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.