Healthcare Provider Details

I. General information

NPI: 1922702562
Provider Name (Legal Business Name): JASON PAUL KLEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15215-1802
US

IV. Provider business mailing address

221 OVERLOOK DR
PITTSBURGH PA
15237-2462
US

V. Phone/Fax

Practice location:
  • Phone: 412-445-3046
  • Fax:
Mailing address:
  • Phone: 412-445-3046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: