Individual
MR. KENNETH J. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
(406) 626-0401
Mailing address
PO BOX 42, SHEPHERD, MT 59079-0042
(406) 208-5549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1148
MT
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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