Kimberly Marie Zietlow, MS-CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Amherst, WI
NPI 1053536664 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1053536664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 820 (WI)
- Practice address
- 357 N Main St
Amherst, WI 54406-9102 - Phone
- (715) 824-5521
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 820 | WI | Yes |
Addresses
Primary practice location
357 N Main St
Amherst, WI 54406-9102
Mailing address
6445 Oak Dr
Amherst, WI 54406-9189
Phone (715) 347-1536
Other providers in Amherst, WI
All providers in Amherst, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.