MEDICARE: DR. BETH ANNE FISHER PT

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	8702	CO

General Provider Information

NPI Number	:	1629284526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH ANNE FISHER PT

Provider Business Mailing Address
First Line	:	2930 STUART ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1429
Country	:	US
Telephone Number	:	720-470-4734
Fax Number	:

Provider Business Practice Location Address
First Line	:	4928 W 29TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1513
Country	:	US
Telephone Number	:	720-470-4734
Fax Number	:

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/28/2014

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Directions to “ DR. BETH ANNE FISHER PT” Practice Location

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