Klocko, Mark

Klocko, Mark is an sole proprietor health care provider with primary practice located at 1401 Oden St Unit 25 , Shreveport LA 71104-3843. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Klocko, Mark can be contacted via phone (318) 560-0627.

Contact Information

Primary practice address
1401 Oden St Unit 25 Shreveport LA 71104-3843
Phone: (318) 560-0627
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A6908 Louisiana

Profile Details

NPI number 1780070763
LBN Legal business name Klocko, Mark
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2015
Last updated Apr 7th, 2015 - about 10 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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