Individual
DESTINY MEKAYLA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 W 35TH ST APT C106, KEARNEY, NE 68845-2921
(308) 216-0502
Mailing address
1701 W 35TH ST APT C106, KEARNEY, NE 68845-2921
(308) 216-0502
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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