Individual
MR. STEPHAN RYAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
222 BARTLETT DR, EL PASO, TX 79912-1608
(719) 323-5332
Mailing address
10348 ROSS LAKE DR, PEYTON, CO 80831-8439
(719) 323-5332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000025610
—
2255A2300X
Athletic Trainer
Primary
AT6772
TX
Other
Enumeration date
11/03/2017
Last updated
12/14/2021
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