Individual
JASON KLOBUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
220 3RD AVE W STE B, ASHLAND, WI 54806-1616
(715) 685-9656
(715) 685-9544
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11805-024
WI
Other
Enumeration date
07/11/2011
Last updated
06/26/2013
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