Adam Fetter
Individual provider Active NPI Physical Therapist · Larkspur, CA
NPI 1669951802 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1669951802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 5 Bon Air Rd Ste 129
Larkspur, CA 94939-1139 - Phone
- (415) 924-8900
- NPI assigned
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
5 Bon Air Rd Ste 129
Larkspur, CA 94939-1139
Mailing address
5 Bon Air Rd Ste 129
Larkspur, CA 94939-1139
Other providers in Larkspur, CA
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- Kevin Erickson
- Peter J Fabian
- Natali Feyzbakhsh
- Melina Jocelyn Figueroa
- Robert Lawrence Fisher
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- Bette Foley
All providers in Larkspur, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.