Healthcare Provider Details

I. General information

NPI: 1376866889
Provider Name (Legal Business Name): APRIL GAIL FISHER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 STEPHENS ST
CLYDE TX
79510-4554
US

IV. Provider business mailing address

1102 TRUNDY STREET
MERKEL TX
79536
US

V. Phone/Fax

Practice location:
  • Phone: 325-893-1669
  • Fax:
Mailing address:
  • Phone: 325-370-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1179987
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: