Provider Demographics
NPI:1609172634
Name:FISCHER, ANDREAS (CMT,LMT)
Entity Type:Individual
Prefix:
First Name:ANDREAS
Middle Name:
Last Name:FISCHER
Suffix:
Gender:M
Credentials:CMT,LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1698 COUNTY ROAD 103
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-9852
Mailing Address - Country:US
Mailing Address - Phone:970-987-2463
Mailing Address - Fax:
Practice Address - Street 1:1450 CRYSTAL LAKE RD
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-2255
Practice Address - Country:US
Practice Address - Phone:970-925-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8975172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist