Individual
KELLI L. FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1900 MIDLAND TRAIL, STE 1 & 2, SHELBYVILLE, KY 40065
(502) 633-1007
(502) 437-0624
Mailing address
8500 WOLF PEN BRANCH RD, PROSPECT, KY 40059-8622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4583
KY
Other
Enumeration date
09/08/2010
Last updated
03/18/2011
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