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NPI Code Detail

MEDICARE: NATASHA FETT

MEDICARE: NATASHA FETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8027819-2401UT

General Provider Information

NPI Number : 1336772524
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA FETT
Provider Business Mailing Address
First Line : 515 S 700 E STE 2D
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2858
Country : US
Telephone Number : 770-314-0249
Fax Number :
Provider Business Practice Location Address
First Line : 515 S 700 E STE 2D
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2858
Country : US
Telephone Number : 770-314-0249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 01/24/2025

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Directions to “ NATASHA FETT ” Practice Location

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