Ms Lesa Kelly Klosterhoff, PT is a
Physical Therapist - Pediatrics based in Ullin, Illinois. Ms Lesa Kelly Klosterhoff is licensed to practice in Missouri (license number 01396) and her current practice location is
770 Long Reach Rd, Ullin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 845-9362.
NPI number for Ms Lesa Kelly Klosterhoff is 1457489940 and her current mailing address is 770 Long Reach Rd, Ullin, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457489940.
Healthcare Provider's Profile
Full Name | Ms Lesa Kelly Klosterhoff |
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Gender | Female |
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Speciality | Physical Therapist - Pediatrics |
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Location | 770 Long Reach Rd, Ullin, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457489940
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Lesa Kelly Klosterhoff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457489940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | 01396 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lesa Kelly Klosterhoff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lesa Kelly Klosterhoff, PT 770 Long Reach Rd, Ullin, IL 62992-2250 Ph: (618) 845-9362 | Ms Lesa Kelly Klosterhoff, PT 770 Long Reach Rd, Ullin, IL 62992-2250 Ph: (618) 845-9362 |
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