Healthcare Provider Details

I. General information

NPI: 1326358342
Provider Name (Legal Business Name): HEATHER M FISCHER-BRYANT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER M FISCHER DC

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 05/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 SOUTHGATE PLZ
MAYSVILLE KY
41056-9132
US

IV. Provider business mailing address

1335 SOUTHGATE PLZ
MAYSVILLE KY
41056-9132
US

V. Phone/Fax

Practice location:
  • Phone: 606-564-4213
  • Fax: 606-564-4406
Mailing address:
  • Phone: 606-564-4213
  • Fax: 606-564-4406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5258
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: