Individual
BRANDON WAYNE KLUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, ATC
Contact information
Practice address
2136 ROBINSON RD STE 1, JACKSON, MI 49203-3558
(517) 750-2540
(517) 750-2044
Mailing address
3073 SHIRLEY DR, JACKSON, MI 49201-7010
(517) 990-6211
(517) 990-6212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
BK011462
MI
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C81077
BCBS
MI
Enumeration date
02/21/2007
Last updated
02/05/2025
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