Individual
MINDY DAWN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S NOLAND RD, INDEPENDENCE, MO 64055-4743
(816) 373-2845
(816) 373-2842
Mailing address
4460 S NOLAND RD, INDEPENDENCE, MO 64055-4743
(816) 373-2845
(816) 373-2842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/30/2012
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