Healthcare Provider Details

I. General information

NPI: 1801464201
Provider Name (Legal Business Name): KAYTLYNN ZIEGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 GLENN RD NW
ALEXANDRIA MN
56308-4007
US

IV. Provider business mailing address

59 GLENN RD NW
ALEXANDRIA MN
56308-4007
US

V. Phone/Fax

Practice location:
  • Phone: 320-219-7644
  • Fax: 320-219-7818
Mailing address:
  • Phone: 320-219-7644
  • Fax: 320-219-7818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: