Provider Demographics
NPI:1790923597
Name:KLOSE TRAINING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:KLOSE TRAINING AND CONSULTING, LLC
Other - Org Name:KLOSE LYMPHEDEMA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GUENTER
Authorized Official - Middle Name:
Authorized Official - Last Name:KLOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-245-0333
Mailing Address - Street 1:1369 FOREST PARK CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3485
Mailing Address - Country:US
Mailing Address - Phone:303-245-0333
Mailing Address - Fax:303-245-0334
Practice Address - Street 1:1369 FOREST PARK CIR STE 101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3485
Practice Address - Country:US
Practice Address - Phone:303-245-0333
Practice Address - Fax:303-245-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty