MEDICARE: MS. BRITTANY RAYE FISCHER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1625	SD

General Provider Information

NPI Number	:	1932454683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRITTANY RAYE FISCHER DPT

Provider Business Mailing Address
First Line	:	244 S CHICAGO ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-2322
Country	:	US
Telephone Number	:	605-350-5603
Fax Number	:	605-745-4762

Provider Business Practice Location Address
First Line	:	244 S CHICAGO ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-2322
Country	:	US
Telephone Number	:	605-745-4761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	07/18/2019

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