Provider Demographics
NPI:1346571882
Name:KLAASSEN, JAMES ERIC (MPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ERIC
Last Name:KLAASSEN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 SPRING HILL RD
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-8508
Mailing Address - Country:US
Mailing Address - Phone:307-359-1588
Mailing Address - Fax:307-464-5726
Practice Address - Street 1:300 RENO DRIVE
Practice Address - Street 2:UNIT B
Practice Address - City:WRIGHT
Practice Address - State:WY
Practice Address - Zip Code:82732
Practice Address - Country:US
Practice Address - Phone:307-359-1588
Practice Address - Fax:307-464-5726
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-08442251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports