| Doctor Name: | MRS. ELIZABETH HESSE FETTER |
| NPI Number: | 1063634368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.P.T |
| License Number: | KS 11-01929 |
| Business Practice Address: | 9120 W 75th St Shawnee Mission, KS - 662042210 |
| Business Phone Number: | 9136767778 |
| Business Fax Number: | |
| Mailing Address: | 10412 W 131st St, OVERLAND PARK |
| State: | KS |
| Postal Code: | 662133608 |
| Phone Number: | 9136851693 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | KS 11-01929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |