Individual
BRIAN FETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
14862 SE LAKE HILLS BLVD, BELLEVUE, WA 98007-5821
(425) 649-9335
(425) 649-0256
Mailing address
14862 SE LAKE HILLS BLVD, BELLEVUE, WA 98007-5821
(425) 649-9335
(425) 649-0256
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00006654
WA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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