Klutz, Bruce A

Klutz, Bruce A is an individual health care provider with primary practice located at 4210 Southtown Dr , Eau Claire WI 54701-2635. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Klutz, Bruce A can be contacted via phone (715) 839-9266.

Contact Information

Primary practice address
4210 Southtown Dr Eau Claire WI 54701-2635
Phone: (715) 839-9266
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1938-024 Wisconsin

Profile Details

NPI number 1710958608
LBN Legal business name Klutz, Bruce A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710958608 NPPES
Minnesota Other 413T3KL BXBS
Minnesota MEDICAID 36138500 BXBS

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