Individual
KAITLIN JEZIOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
970 W JUNIPER AVE, HERMISTON, OR 97838-2118
(541) 567-8337
(541) 289-8858
Mailing address
1304 TORBETT ST, RICHLAND, WA 99354-2813
(419) 345-7126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09284
OR
225200000X
Physical Therapy Assistant
Primary
10358
OH
225200000X
Physical Therapy Assistant
2117571
TX
225200000X
Physical Therapy Assistant
60687963
WA
Other
Enumeration date
07/28/2016
Last updated
07/19/2023
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