Individual
KATHLEEN TERESA HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17101 SNOWMOBILE LN STE 202, EAGLE RIVER, AK 99577-7043
(907) 694-8085
Mailing address
24010 THE CLEARING DR, EAGLE RIVER, AK 99577-9697
(434) 363-5602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113229
AK
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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