Individual
MS. KENDRA PIETILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
435 STONEVILLE RD, ISHPEMING, MI 49849-2921
(906) 485-1073
Mailing address
96 CROIX ST, APARTMENT 5, NEGAUNEE, MI 49866-1157
(906) 235-1764
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
07/22/2013
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