Individual
BENJAMIN W FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
350 RADIO PARK DR STE 1, RICHMOND, KY 40475-2998
(859) 625-5986
(859) 625-5987
Mailing address
350 RADIO PARK DR STE 1, RICHMOND, KY 40475-2998
(859) 625-5986
(859) 625-5987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TP2021082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP2021082
KENTUCKY BOARD OF PHYSICAL THERAPY
KY
Enumeration date
09/02/2021
Last updated
09/02/2021
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