Individual
MS. HEATHER M KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1590 NE 3RD ST STE B, PRINEVILLE, OR 97754
(541) 416-7476
(541) 416-7478
Mailing address
1303 NE CUSHING DR STE 150, BEND, OR 97701-3891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63002
OR
225100000X
Physical Therapist
PT10151
WA
Other
Enumeration date
11/01/2006
Last updated
12/02/2019
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