| Doctor Name: | DR. JEREMY CHAD FLETCHER |
| NPI Number: | 1013225085 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PTH5850 |
| Business Practice Address: | 5271 Usa Dr N Hahn 2050 Mobile, AL - 366882719 |
| Business Phone Number: | 2514459378 |
| Business Fax Number: | 2514459377 |
| Mailing Address: | Po Box 40277, Hahn 2050 MOBILE |
| State: | AL |
| Postal Code: | 366400277 |
| Phone Number: | 2514343626 |
| Fax Number: | 2514452464 |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 10/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PTH5850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |