Individual
GREG B FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1021 CARR ST APT 28, LAKEWOOD, CO 80214-4084
(417) 825-0229
Mailing address
1021 CARR ST APT 28, LAKEWOOD, CO 80214-4084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014098
CO
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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