Individual
SHEA LYNN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
9613 LINCOLN HWY STE 107, BEDFORD, PA 15522-3748
(814) 623-1042
Mailing address
PO BOX 282, EVERETT, PA 15537-0282
(717) 816-6315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007570
PA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
11/13/2017
Last updated
01/15/2021
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