MEDICARE: KARLEE LYNN KLUCHAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT022373	OH

General Provider Information

NPI Number	:	1760310569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEE LYNN KLUCHAR

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 BELMONT AVE STE 2
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1042
Country	:	US
Telephone Number	:	330-576-8250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ KARLEE LYNN KLUCHAR ” Practice Location

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