Doctor Name: | KEITH FISCHER |
NPI Number: | 1750685640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5001 American Blvd W Suite 945 Bloomington, MN - 554371108 |
Business Phone Number: | 9528356653 |
Business Fax Number: | 9528353895 |
Mailing Address: | 5001 American Blvd W, Suite 945 BLOOMINGTON |
State: | MN |
Postal Code: | 554371108 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/06/2011 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |