Individual
MRS. HEATHER D FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCMMT
Contact information
Practice address
100 HOPEWELL AVE, FARM BUREAU BLDG, TIFFIN, OH 44883-2636
(419) 448-7188
(419) 455-9252
Mailing address
53 DOUGLAS ST, TIFFIN, OH 44883-1134
(419) 448-7188
(419) 455-9252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10262
LICENSE MASSAGE THERAPIST
OH
01
—
1177
NATIONAL CERTIFICATION
OH
Enumeration date
04/06/2007
Last updated
07/08/2007
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