Bruce A Klutz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1938-024 Issued in WI

Practice address

4210 Southtown Dr
Eau Claire, WI 54701-2635

Phone

(715) 839-9266

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1710958608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 SOUTHTOWN DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012635",
            "telephone_number": "715-839-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SOUTHTOWN DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012635",
            "telephone_number": "715-839-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTZ",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1938-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "413T3KL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36138500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holli Ann Kloss, PT
• Joseph D Kluetz, APSW
• James Arthur Klug, D.C.
• Steven Lawrence Klug, LPN
• Peter William Kluge, D.O.
• Keri L Knaack, CRNA
• Danielle Kay Knetter, D.C.
• Montarious Kenyan Knight, LMT
• Emily Knobel
• Adam Knudtson, RN

• Physical Therapist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.