Individual
LUKE D KLAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
204 NORTH 10TH STREET, KLAMATH FALLS, OR 97601-2817
(541) 882-4544
(541) 882-7258
Mailing address
204 NORTH 10TH STREET, KLAMATH FALLS, OR 97601-2817
(541) 882-4544
(541) 882-7258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007334001
BLUE CROSS
—
05
—
163394
—
OR
01
—
A002
TRICARE
—
Enumeration date
12/13/2006
Last updated
10/09/2007
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