Individual
CHRISTINE L FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
104 W 9TH AVE, POST FALLS, ID 83854-9216
(208) 777-9740
(208) 777-8316
Mailing address
PO BOX 1299, POST FALLS, ID 83877-1299
(208) 777-9740
(208) 777-8316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
04023
IA
225100000X
Physical Therapist
Primary
PT-2966
ID
225100000X
Physical Therapist
PT00010803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578786679
—
ID
05
—
1578786679
—
WA
Enumeration date
04/10/2007
Last updated
06/04/2020
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