Individual
MARY KATHLEEN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1325 6TH AVE, SEATTLE, WA 98101-2304
(206) 464-3098
Mailing address
3059 64TH AVE SW, SEATTLE, WA 98116-2715
(206) 852-2633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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