Individual
HAYDEN KLOCKENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
Mailing address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024984
IL
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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