Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christie Fredericksen

Individual provider Physical Therapist · NPI 1720423965

Christie Fredericksen is a Physical Therapist in Clarkston, Washington. Practices as a sole proprietor. Licensed in Idaho, Massachusetts and Washington.

Licensed in
ID, MA, WA
In the registry since
2013
Specialties on file
3

Practice location Address checks out

1727 Ridgeview Dr
Clarkston, WA 99403-3073
Phone: (509) 780-1991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 00008504 (WA)
Physical Therapist Taxonomy 225100000X · Licence PT-1614 (ID)
Physical Therapist Taxonomy 225100000X · Licence 15588 (MA)

Record details

NPI number1720423965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013

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