Individual
MR. JOHN KEITH KADLECIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
63595 HUNNELL RD, SUITE 130, BEND, OR 97701-1259
(877) 240-6389
Mailing address
20420 HERITAGE AVE, BEND, OR 97702-9440
(541) 389-8744
(541) 389-0698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1724
OR
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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