Doctor Name: | MRS. MICHELLE FISER |
NPI Number: | 1205042595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT0713 |
Business Practice Address: | 1707 S Colorado St Ste A Greenville, MS - 387037275 |
Business Phone Number: | 6623358332 |
Business Fax Number: | 6623358852 |
Mailing Address: | 1707 S Colorado St Ste A, GREENVILLE |
State: | MS |
Postal Code: | 387037275 |
Phone Number: | 6623358332 |
Fax Number: | 6623358852 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |