Provider Demographics
NPI:1508500240
Name:FISHER, LAUREN ROWELL (PT, DPT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ROWELL
Last Name:FISHER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:ROWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 12TH ST
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-3304
Mailing Address - Country:US
Mailing Address - Phone:803-973-0100
Mailing Address - Fax:803-973-0117
Practice Address - Street 1:1105 12TH ST
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-3304
Practice Address - Country:US
Practice Address - Phone:803-973-0100
Practice Address - Fax:803-462-5805
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11144225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist