Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1582 | MT |
NPI | 1073641445 |
---|---|
Provider Name | Kristi Jo Fischer |
First Address | Billings, MT 59106-9536 |
Second Address | Billings, MT 59106-9536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 12/05/2016 |