Individual
T Y FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
600 W WALNUT ST, DANVILLE, KY 40422-1309
(859) 238-5498
Mailing address
600 W WALNUT ST, DANVILLE, KY 40422-1309
(859) 238-5498
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT500
KY
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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