Most Relevant Information
Provider Data
| NPI Number: | 1003273350 |
| Provider Name: | MARK KLECKNER P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT-001913 |
Most Important Dates
| Enumeration Date: | 01/18/2016 |
| Last Updated: | 01/18/2016 |
Provider Practice Location
1722 SHARKEY WAY
LEXINGTON
KY
405112028
Practice Location Phone/Fax
| Phone: | 8592450692 |
| Fax: |
Provider Mailing Location
1722 SHARKEY WAY
LEXINGTON
KY
405112028
Provider Mailing Phone/Fax
| Phone: | 8592450692 |
| Fax: |