Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erika Kietzman, LAT, ATC

Individual provider Athletic Trainer · NPI 1508559311

Erika Kietzman, LAT, ATC is an Athletic Trainer in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2406 E Empire St
Bloomington, IL 61704-3630
Phone: (309) 663-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.005666 (IL)

Record details

NPI number1508559311
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 29, 2023
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023

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