Individual
JULIE A FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CYT
Contact information
Practice address
622 W SYCAMORE ST, FAYETTEVILLE, AR 72703-6005
(479) 530-9880
Mailing address
314 W MOUNTAIN ST, FAYETTEVILLE, AR 72701-5946
(614) 226-5996
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
8247
AR
225700000X
Massage Therapist
8247
AR
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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