Individual
MICHAEL FETTKETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 2ND ST NW, WAVERLY, IA 50677-2619
(319) 352-0102
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
05/29/2025
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