Healthcare Provider Details

I. General information

NPI: 1073641445
Provider Name (Legal Business Name): KRISTI JO FISCHER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 05/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 NIGHT HAWK RD
BILLINGS MT
59106-9536
US

IV. Provider business mailing address

4300 NIGHT HAWK RD
BILLINGS MT
59106-9536
US

V. Phone/Fax

Practice location:
  • Phone: 406-672-8868
  • Fax:
Mailing address:
  • Phone: 406-672-8868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number1582
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: