Individual
IAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3155 SULKY LN, EVERGREEN, CO 80439-8623
(413) 374-4496
Mailing address
3155 SULKY LN, EVERGREEN, CO 80439-8623
(413) 374-4496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011727
CO
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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