Individual
KIMBERLY B FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1408 LAKE TAPPS PARKWAY E, SUITE E106, AUBURN, WA 98092
(253) 939-7179
(253) 939-7182
Mailing address
1408 LAKE TAPPS PARKWAY E, SUITE E106, AUBURN, WA 98092
(253) 939-7179
(253) 939-7182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007488
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176892
L&I
WA
01
—
5533755
AETNA
WA
01
—
610775100
US DOL
—
01
—
7757FI
REGENCE
WA
01
—
8941198
CRIME VICTIMS
—
Enumeration date
11/30/2006
Last updated
05/28/2008
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