Individual
GREGORY J KLATKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTGCS
Contact information
Practice address
250 LAWRENCE AVE, PARK FALLS, WI 54552-1431
(715) 762-2449
Mailing address
12588 S PARK RD, BUTTERNUT, WI 54514-8611
(715) 769-3322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1295-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40031700
—
WI
Enumeration date
07/24/2006
Last updated
07/08/2007
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