Doctor Name: | PATRICK VINCENT FISCHER |
NPI Number: | 1043552219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 8064 |
Business Practice Address: | 4736 Highway 17 Byp S Myrtle Beach, SC - 295885616 |
Business Phone Number: | 8434449355 |
Business Fax Number: | 8432940019 |
Mailing Address: | 189 Osprey Cove Loop, MYRTLE BEACH |
State: | SC |
Postal Code: | 295886565 |
Phone Number: | 7175878625 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2013 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 8064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |