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

Mr. Donald Daryl Fredericksen, MPT

Individual provider Physical Therapist · NPI 1093140386

Mr. Donald Daryl Fredericksen, MPT is a Physical Therapist in Clarkston, Washington. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1727 Ridgeview Dr
Clarkston, WA 99403-3073
Phone: (509) 780-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT665 (ID)

Record details

NPI number1093140386
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorYes
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 5, 2013

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