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NPI Code Detail

MEDICARE: DR. KRISTEN KLEPONIS PT, DPT, PRPC

MEDICARE:  DR. KRISTEN  KLEPONIS  PT, DPT, PRPC
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
1225100000XPhysical TherapistPT36484FL

General Provider Information

NPI Number : 1972105328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN KLEPONIS PT, DPT, PRPC
Provider Business Mailing Address
First Line : 105 S FLORIDA AVE STE 3
Second Line :
City : LAKELAND
State : FL
Zip : 33801-4619
Country : US
Telephone Number : 863-225-2317
Fax Number : 877-596-1938
Provider Business Practice Location Address
First Line : 105 S FLORIDA AVE STE 3
Second Line :
City : LAKELAND
State : FL
Zip : 33801-4619
Country : US
Telephone Number : 863-225-2317
Fax Number : 877-596-1938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 02/17/2026

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Directions to “ DR. KRISTEN KLEPONIS PT, DPT, PRPC” Practice Location

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