Provider Demographics
NPI:1447740147
Name:KLAASSEN, TROY (DPT)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:KLAASSEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S ELM AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615-8267
Mailing Address - Country:US
Mailing Address - Phone:970-454-2560
Mailing Address - Fax:970-454-2335
Practice Address - Street 1:201 S ELM AVE STE 202
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:CO
Practice Address - Zip Code:80615
Practice Address - Country:US
Practice Address - Phone:979-454-2560
Practice Address - Fax:970-454-2335
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist