Individual
STEVEN R KLITGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1800 FLANDRO DR, POCATELLO, ID 83202-4912
(208) 233-2248
(208) 233-0219
Mailing address
1800 FLANDRO DR, POCATELLO, ID 83202-4912
(208) 233-2248
(208) 233-0219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-248
ID
Other
Enumeration date
05/27/2015
Last updated
05/29/2015
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