Individual
KATELYN ANN RIESTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 MARYLAND WAY STE 104, BRENTWOOD, TN 37027-5022
(615) 450-1201
Mailing address
301 MERCEDES ST APT 10308, BENBROOK, TX 76126-2665
(608) 322-8518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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