Individual
JON FETTERHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
Mailing address
141 NW 62ND ST, TOPEKA, KS 66617-1626
(785) 364-2116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00032
KS
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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