Individual
MRS. JILL ELIZABETH KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, MPA
Contact information
Practice address
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253
(641) 484-5312
Mailing address
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253
(641) 484-5312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00534
IA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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