Melissa Kietzman

Speech-Language Pathologist · Waunakee, WI

Individual Active NPI

NPI number 1104750439

Practice location

6271 Woodland Dr
Waunakee, WI 53597-9256
Phone
(608) 849-2030

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NPI record

NPI
1104750439
Entity type
Individual (Type 1)
Enumeration date
June 11, 2026
Last updated
June 11, 2026
Certified
June 11, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 1590015724 WI

Mailing address

5085 Vienna Dr
Waunakee, WI 53597-9747
Phone
(608) 225-4796

About Melissa Kietzman

Melissa Kietzman is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 6271 Woodland Dr, Waunakee, WI 53597-9256. The NPI number 1104750439 was assigned on June 11, 2026 and the record was last updated on June 11, 2026.

Melissa Kietzman lists a license in the registry: #1590015724 (WI) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Melissa Kietzman?

The NPI number is 1104750439.

What is the phone number of Melissa Kietzman?

The phone number listed for the practice location is (608) 849-2030.

Where is Melissa Kietzman located?

6271 Woodland Dr, Waunakee, WI 53597-9256.

What is the taxonomy code for Melissa Kietzman?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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