Provider Demographics
NPI:1811248248
Name:MCREE, WILLIAM FLETCHER (PT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FLETCHER
Last Name:MCREE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 CAMINO LUMBRE
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5632
Mailing Address - Country:US
Mailing Address - Phone:512-709-4028
Mailing Address - Fax:
Practice Address - Street 1:1420 H ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5116
Practice Address - Country:US
Practice Address - Phone:661-868-7660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23036225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist