Individual
JUSTIN TYLER KLENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14450 S OUTER 40 RD, CHESTERFIELD, MO 63017-5711
(314) 434-6060
(314) 434-6066
Mailing address
14450 S OUTER 40 RD, CHESTERFIELD, MO 63017-5711
(314) 434-6060
(314) 434-6066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015027174
MO
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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