# KLUCK THERAPY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487666533
- **Authorized official:** KIM A MATNEY (CPC)
- **Authorized official phone:** (866) 289-0801

## Contact information

- **Practice address:** 810 SOUTH MAPLE ST, WATERTOWN, SD 57201
- **Practice address phone:** (605) 753-5400
- **Practice address fax:** (605) 753-5400
- **Mailing address:** 224 BRIAR CLIFF ST SW, POPLAR GROVE, IL 61065
- **Mailing address phone:** (815) 765-0200
- **Mailing address fax:** (815) 765-1920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 69 | SD | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 08/22/2020
