Individual
MR. KENNETH BURT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
36 WINTHROP ST, ROCHESTER, NY 14607-1326
(585) 330-6586
Mailing address
26 VICK PARK A, ROCHESTER, NY 14607-2120
(585) 330-6586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013982-0
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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