Individual
KAELA FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 335-4699
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0015128
CO
225100000X
Physical Therapist
Primary
12508599-2401
UT
Other
Enumeration date
11/12/2017
Last updated
10/14/2024
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