Individual
KAREY JO FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1454 30TH ST STE 103, WEST DES MOINES, IA 50266-1312
(515) 223-6620
(515) 223-9625
Mailing address
18715 HAMPTON DR, OMAHA, NE 68136-2160
(402) 350-5266
(402) 334-6844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03485
IA
225100000X
Physical Therapist
Primary
2253
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03485
PHYSICAL THERAPY LICENSE
IA
01
—
2253
PHYSICAL THERAPY LICENSE
NE
Enumeration date
05/29/2019
Last updated
05/29/2019
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