Healthcare Provider Details

I. General information

NPI: 1215854898
Provider Name (Legal Business Name): ABIGAIL DARLENE KLATT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 BLUFF CREEK DR
COLUMBIA MO
65201-3529
US

IV. Provider business mailing address

7211 ROUTE D
RUSSELLVILLE MO
65074-2523
US

V. Phone/Fax

Practice location:
  • Phone: 877-870-4976
  • Fax: 866-581-7732
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2026023284
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: