Provider Demographics
NPI:1518385368
Name:KLEPPER, GRETCHEN MARIE (DPT)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:MARIE
Last Name:KLEPPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:GRETCHEN
Other - Middle Name:MARIE
Other - Last Name:FUREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1802 TULPEHOCKEN RD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610
Mailing Address - Country:US
Mailing Address - Phone:610-478-0402
Mailing Address - Fax:610-778-0354
Practice Address - Street 1:1802 TULPEHOCKEN RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610
Practice Address - Country:US
Practice Address - Phone:610-478-0402
Practice Address - Fax:610-778-0354
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-30
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist