Individual
BRANDON WAYNE KLUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, ATC
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
Update your record
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