Individual
JEREMY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
7608 BELHURST AVE, LAS VEGAS, NV 89113-4648
(484) 358-6050
Mailing address
7608 BELHURST, LAS VEGAS, NV 89113
(484) 358-6050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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