Provider Demographics
NPI:1326316175
Name:FLETCHER, KRISTEN BASS (MS, RCEP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:BASS
Last Name:FLETCHER
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Gender:F
Credentials:MS, RCEP
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Mailing Address - Street 1:400 W 7TH ST
Mailing Address - Street 2:CARDIAC REHAB
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4506
Mailing Address - Country:US
Mailing Address - Phone:240-566-3230
Mailing Address - Fax:240-566-3729
Practice Address - Street 1:400 W 7TH ST
Practice Address - Street 2:CARDIAC REHAB
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4506
Practice Address - Country:US
Practice Address - Phone:240-566-3230
Practice Address - Fax:240-566-3729
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2012-12-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist