Dr. Kailey Devine Fetzko, DC
Chiropractor in Johnstown, PA. Individual provider (NPI-1).
NPI number1295598522
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1295598522
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kailey Devine Fetzko
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2024
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC011901 | PA | Yes |
Practice location
891 Menoher BlvdJohnstown, PA 15905-2839
Phone 814-418-8017
Mailing address
891 Menoher BlvdJohnstown, PA 15905-2839
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