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

Justin Kietzman

Individual provider Other Technician · NPI 1063837417

Justin Kietzman is an Other Technician in Reedsburg, Wisconsin. Works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2014
Specialties on file
2

Practice location Address checks out

425 6th St
Reedsburg, WI 53959
Phone: (608) 524-7907
Fax: (608) 524-7980
Show map & directions

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

Additional practice locations (1)

  • 2624 9th Ave S, Fargo, ND 58103-2350 — (701) 298-4500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4936 (ND)
Other Technician Taxonomy 247200000X

Record details

NPI number1063837417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 21, 2014
Last updated in NPPESJuly 27, 2018
Mailing address425 6th St, Reedsburg, WI 53959-1202

Other providers in Reedsburg