Search › Washington › 101Y00000X
Shannon Kretz, AA, CDPT
NPI 1861977936 · on the registry since 2018
Practice
- Address
- 309 Oak St
Kelso, WA 98626 - Phone
- (360) 423-0203
- Fax
- (360) 577-7904
- Organisation at this address
- C & R Executives, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington