Individual ProviderMark J. KluemperPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 Bob O Link Dr, Lexington, KY 40504-3756(859) 258-8519PECOS EnrollmentBased on the most recent information from CMS, provider Mark J. Kluemper does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1093887226Provider TypeIndividualFull NameKluemper, Mark J.CredentialP.T.GenderMaleSole ProprietorNoEnumeration Date11/14/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address700 Bob O Link Dr, Lexington, KY 40504-3756Phone(859) 258-8519Fax(859) 258-8592Mailing LocationMailing Address700 Bob O Link Dr, Lexington, KY 40504-3756Phone(859) 258-8519Fax(859) 258-8592Provider TaxonomiesCodeDescriptionLicenseCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT-004485KentuckyCode2251S0007XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT-004485KentuckyCode2251X0800XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT-004485Kentucky