Provider Demographics
NPI:1013225085
Name:FLETCHER, JEREMY CHAD (DPT)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:CHAD
Last Name:FLETCHER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40277
Mailing Address - Street 2:HAHN 2050
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0277
Mailing Address - Country:US
Mailing Address - Phone:251-434-3626
Mailing Address - Fax:251-445-2464
Practice Address - Street 1:5271 USA DR N
Practice Address - Street 2:HAHN 2050
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-2719
Practice Address - Country:US
Practice Address - Phone:251-445-9378
Practice Address - Fax:251-445-9377
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH58502251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic