Provider Demographics
NPI:1326358342
Name:FISCHER-BRYANT, HEATHER M (DC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:FISCHER-BRYANT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:M
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1335 SOUTHGATE PLZ
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9132
Mailing Address - Country:US
Mailing Address - Phone:606-564-4213
Mailing Address - Fax:606-564-4406
Practice Address - Street 1:1335 SOUTHGATE PLZ
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9132
Practice Address - Country:US
Practice Address - Phone:606-564-4213
Practice Address - Fax:606-564-4406
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor