Provider Demographics
NPI:1023043411
Name:KLATT, RICK (MSPT)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:KLATT
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 LAFAYETTE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-4411
Mailing Address - Country:US
Mailing Address - Phone:973-940-0423
Mailing Address - Fax:973-940-0399
Practice Address - Street 1:202 ROUTE 206 N
Practice Address - Street 2:SUITE D
Practice Address - City:SANDYSTON
Practice Address - State:NJ
Practice Address - Zip Code:07826-5082
Practice Address - Country:US
Practice Address - Phone:973-948-4857
Practice Address - Fax:973-948-6192
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25QA01007600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist