Organization
FISCHER SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TERRY MCKENNEY ATC, CSCS (ATHLETIC TRAINER)
(602) 437-5055
Entity
Organization
Contact information
Practice address
4050 E COTTON CENTER BLVD, SUITE 60, PHOENIX, AZ 85040-8861
(602) 437-5055
Mailing address
4050 E COTTON CENTER BLVD, SUITE 60, PHOENIX, AZ 85040-8861
(602) 437-5055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0076
AZ
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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