Provider Demographics
NPI:1720272537
Name:FLETCHER, MARGARET AVERIL (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:AVERIL
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6697
Mailing Address - Country:US
Mailing Address - Phone:509-662-7227
Mailing Address - Fax:509-662-7299
Practice Address - Street 1:520 N CHELAN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6697
Practice Address - Country:US
Practice Address - Phone:509-662-7227
Practice Address - Fax:509-662-7299
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000029552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1720272537Medicaid
WAP01346789OtherRR MEDICARE
WA1720272537Medicaid