Doctor Name: | MRS. KIMBERLY BURNS KLUG |
NPI Number: | 1407809882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5363-24 |
Business Practice Address: | 1317 W Grand Ave Lake Hills Medical Complex Port Washington, WI - 53074 |
Business Phone Number: | 2622842261 |
Business Fax Number: | |
Mailing Address: | N52w16745 Oak Ridge Trl, MENOMONEE FALLS |
State: | WI |
Postal Code: | 530510640 |
Phone Number: | 2627831523 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5363-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |