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
Mailing addressPo Box 576, Clarkston, WA 99403-0576

Other providers in Clarkston