Active NPIIndividual provider

Amanda N Fetzer, DPT

Physical Therapist in Newton, Massachusetts

NPI Number1952952962
Practice location
1340 Centre St Ste 105, Newton, MA 02459-2453
Fax
617-467-3078
Last updated
September 23, 2019

Amanda Nicole Fetzer is a Physical Therapist based in Newton, MA. Amanda Nicole Fetzer practices in Newton, MA and has the professional credentials of DPT. The NPI Number for Amanda Nicole Fetzer is 1952952962 and holds a License No. 24441 (MA). The current practice location address for Amanda Nicole Fetzer is 1340 Centre St Ste 105, Newton, MA 02459-2453 and can be reached out via phone at 617-467-3076 and via fax at 617-467-3078.

Provider Profile Details

NPI Number
1952952962
Provider Name
Amanda Nicole Fetzer
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
1340 Centre St Ste 105, Newton, MA 02459-2453
Phone Number
617-467-3076
Fax Number
617-467-3078
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 23, 2019
Last Update Date
September 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1340 Centre St Ste 105
Newton, MA 02459-2453
City
Newton
Zip
02459-2453
Phone Number
617-467-3076
Fax Number
617-467-3078
Newton, MA 02459Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440-4909
City
Bolingbrook
State
IL
Zip
60440-4909
Phone Number
630-296-2222
Fax Number
630-759-9510

License Information

License Number
24441
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda N Fetzer, DPT?

The NPI number of Amanda N Fetzer, DPT is 1952952962. It was assigned on September 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Amanda N Fetzer, DPT?

Amanda N Fetzer, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24441.

Where does Amanda N Fetzer, DPT practice?

The practice location is 1340 Centre St Ste 105, Newton, MA 02459-2453. The office can be reached at 617-467-3076 (phone) or 617-467-3078 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952952962 directly on the NPPES registry website.

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