Doctor Name: | DR. MANDI ELISE FETTERS |
NPI Number: | 1376820662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 38346 |
Business Practice Address: | 5551 Hilliard Rome Office Park Hilliard, OH - 430267287 |
Business Phone Number: | 6148500500 |
Business Fax Number: | 6148500540 |
Mailing Address: | Po Box 1267, HILLIARD |
State: | OH |
Postal Code: | 430266267 |
Phone Number: | 6148500500 |
Fax Number: | 6148500540 |
NPI Enumeration Date: | 11/15/2011 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 38346 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |