Individual
MELISSA KIETZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6271 WOODLAND DR, WAUNAKEE, WI 53597-9256
(608) 849-2030
Mailing address
5085 VIENNA DR, WAUNAKEE, WI 53597-9747
(608) 225-4796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1590015724
WI
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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