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Individual

SHELBY LYNN FRUECHTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 215-2450
(208) 773-1473
Mailing address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 215-2450
(208) 773-1473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6876
ID
2251S0007X
Sports Physical Therapist
PT-6876
ID
2251X0800X
Orthopedic Physical Therapist
PT-6876
ID

Other

Enumeration date
05/27/2020
Last updated
06/13/2020
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