Individual
LISA L FISHER-ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
400 W 4TH ST, MCPHERSON, KS 67460-2300
(620) 241-4201
(620) 241-4210
Mailing address
200 W DOUGLAS, STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01456
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100399910B
—
KS
Enumeration date
07/05/2006
Last updated
05/06/2011
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