Brenton Jay Fischer is a Sports in Phoenix, Arizona. Brenton Jay Fischer practices all healthcare services and medical treatments related to Sports. The NPI Number for Brenton Jay Fischer is 1881736585. The last update date is 2022-12-10.
Brenton Jay Fischer's current location address is 719 W Kaler Dr, Phoenix, Arizona. You can contact this provider via phone number 4805776802. The mailing address for Brenton Jay Fischer is 719 W Kaler Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brenton Jay Fischer |
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Address | 719 W Kaler Dr, Phoenix, Arizona |
Phone Number | 4805776802 |
Fax Number | |
Sole Proprietor | N |
Credentials | PT ATC CSC |
NPI Number Detail
NPI Number | 1881736585 |
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Provider Enumeration Date | 2007-02-12 |
Last Updated Date | 2022-12-10 |
Provider Mailing Address Detail
Address | 719 W Kaler Dr |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850218026 |
Phone Number | 4805776802 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 2667 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique identification code assigned to Brenton Jay Fischer by the Centers for Medicare & Medicaid Services?
The Brenton Jay Fischer has been issued the NPI (National Provider Identifier) 1881736585. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brenton Jay Fischer is physically located?
The Brenton Jay Fischer is physically situated at the following address: 719 W Kaler Dr, Phoenix, AZ, 850218026.
What is the area of specialization for Brenton Jay Fischer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brenton Jay Fischer is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881736585 to Brenton Jay Fischer?
The Centers for Medicare & Medicaid Services assigned the 1881736585 to Brenton Jay Fischer on 2007-02-12.
As of what date were the details related to Brenton Jay Fischer most recently updated or revised?
The information pertaining to Brenton Jay Fischer, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-10.