Individual
JULIA R KLEUSKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1346 E GREEN BAY ST, SHAWANO, WI 54166-2210
(715) 526-6244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14870
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093831
—
WI
01
—
296280
CA STATE LICENSE
CA
Enumeration date
02/11/2019
Last updated
10/03/2025
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