Individual
KYLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1098 W MAIN ST, LEWISVILLE, TX 75067-3518
(940) 631-0647
Mailing address
2849 MAPLE CREEK DR, FT WORTH, TX 76177-2118
(940) 631-0647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4712
TX
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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