Individual
KIMBERLY MARIE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
872 TROY RD, SUITE 180, MOSCOW, ID 83843-4046
(208) 882-1426
(208) 882-1428
Mailing address
872 TROY RD, SUITE 180, MOSCOW, ID 83843-4046
(208) 882-1426
(208) 882-1428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2289
ID
Other
Enumeration date
10/18/2007
Last updated
05/22/2013
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