| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PATRICK KLISZCZ | 1750139952 | 2024-05-11 |
Patrick Kliszcz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750139952. Registration indicates Patrick Kliszcz is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Mr. Patrick Kliszcz LAT, ATC |
| Practice Office Address | 105 GARFIELD AVE EAU CLAIRE, WI US |
| Practice Office Telephone | 7158363191 |
| Mailing Address | 105 GARFIELD AVE EAU CLAIRE, WI 547014811 US |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | 2480-39
WI |