Individual
KELLY PIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
148 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 356-1142
Mailing address
322 VICTORIA DR, TROY, MO 63379-2460
(636) 485-9206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017003433
MO
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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