Organization
KLARE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WADE KLARE LPT (OWNER)
(361) 729-8838
Entity
Organization
Contact information
Practice address
702 E MIMOSA ST, ROCKPORT, TX 78382-4151
(361) 729-8838
(361) 729-9508
Mailing address
702 E MIMOSA ST, ROCKPORT, TX 78382-4151
(361) 729-8838
(361) 729-9508
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1096576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1747277
FIRST HEALTH
TX
01
—
6400153
UNITED HEALTHCARE
TX
01
—
7019083
AETNA INSURANCE
TX
01
—
83755T
BLUE CROSS / BLUE SHIELD
TX
Enumeration date
10/25/2007
Last updated
10/25/2007
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