Individual ProviderKerry FetzerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6095PECOS EnrollmentBased on the most recent information from CMS, provider Kerry Fetzer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205122132Provider TypeIndividualFull NameFetzer, KerryGenderFemaleSole ProprietorNoEnumeration Date6/20/2011Last Updated6/20/2011Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6095FaxUnlisted FaxMailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1646North Dakota