Individual
MR. DENNIS FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 NORTH BROADWAY STREET, SHELBYVILLE, IL 62565
(217) 774-1344
Mailing address
609 WEST NORTH 2ND STREET, SHELBYVILLE, IL 62565
(217) 774-2543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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