| Organization Name: | KLUCK THERAPY CENTER INC |
| NPI Number: | 1487666533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM A MATNEY (CPC) |
| Mailing Address: | 810 South Maple St Watertown |
| State: | SD US |
| Postal Code: | 57201 |
| Phone Number: | 6057535400 |
| Fax Number: | 6057535400 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 69 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| 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 |