Erika Kietzman, LAT, ATC

NPI 1508559311 · on the registry since 2023

Practice

Address: 2406 E Empire St
Bloomington, IL 61704
Phone: (309) 663-9300
Organisation at this address: Millennium Pain Center Llc
Bromenn Physician Management Corporation
Orthopedic And Sports Enhancement Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois