Individual
TACEY L FISCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
620 4 J CT, GILLETTE, WY 82716-4130
(307) 686-2569
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 359-7700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2512
WY
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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