Doctor Name: | SAMUEL TYSON FISCHER |
NPI Number: | 1881940294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PTL0012927 |
Business Practice Address: | 3880 Grant Ave Suite 100 Loveland, CO - 805388433 |
Business Phone Number: | 9706637780 |
Business Fax Number: | 9706637781 |
Mailing Address: | 3880 Grant Ave, Suite 100 LOVELAND |
State: | CO |
Postal Code: | 805388433 |
Phone Number: | 9706637780 |
Fax Number: | 9706637781 |
NPI Enumeration Date: | 08/03/2012 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL0012927 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
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 |