Provider Demographics
NPI:1073641445
Name:FISCHER, KRISTI JO (PT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:JO
Last Name:FISCHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 NIGHT HAWK RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9536
Mailing Address - Country:US
Mailing Address - Phone:406-672-8868
Mailing Address - Fax:
Practice Address - Street 1:4300 NIGHT HAWK RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-9536
Practice Address - Country:US
Practice Address - Phone:406-672-8868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT15822251P0200X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies