Individual
MRS. KRISTA ANN FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
3916 N INTERTECH CT, SUITE B, APPLETON, WI 54913-6956
(920) 733-7726
(920) 733-2109
Mailing address
1010 S ONEIDA ST, APPLETON, WI 54915-7802
(920) 733-7726
(920) 733-2109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
632024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6323024
LICENSE
WI
Enumeration date
09/20/2006
Last updated
09/26/2007
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