National Provider Identifier
Kenneth Burt Fisher, LMT
Kenneth Burt Fisher, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 330-6586.
Profile Overview
- NPI
- 1194941906
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- April 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 36 Winthrop St
- Rochester, NY 14607-1326
Phone: (585) 330-6586
Mailing Address
- 26 Vick Park A
- Rochester, NY 14607-2120
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1194941906
- Entity Type
- Individual
- Last Name
- Fisher
- First Name
- Kenneth
- Middle Name
- Burt
- Name Prefix
- Mr.
- Credential
- LMT
- Mailing Street Address
- 26 Vick Park A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2120
- Mailing Country
- US
- Mailing Phone
- (585) 330-6586
- Practice Street Address
- 36 Winthrop St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1326
- Practice Country
- US
- Practice Phone
- (585) 330-6586
- Enumeration Date
- April 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)