Individual
BRAD D FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
244 S CHICAGO ST, HOT SPRINGS, SD 57747-2322
(406) 748-3600
(406) 748-3606
Mailing address
244 S CHICAGO ST, HOT SPRINGS, SD 57747-2322
(605) 745-4761
(605) 745-4762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1492
SD
225100000X
Physical Therapist
1962
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000061381
BLUE SHIELD PROVIDER NUMB
MT
05
—
3401905
—
MT
Enumeration date
02/22/2006
Last updated
12/16/2018
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