Provider Demographics
NPI:1780896217
Name:FISHER, LYNNA GAY (PT)
Entity type:Individual
Prefix:MRS
First Name:LYNNA
Middle Name:GAY
Last Name:FISHER
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 1:1110 CIVIC CENTER BLVD STE 502
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-3015
Mailing Address - Country:US
Mailing Address - Phone:530-441-6427
Mailing Address - Fax:
Practice Address - Street 1:1110 CIVIC CENTER BLVD STE 502
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-3015
Practice Address - Country:US
Practice Address - Phone:530-441-6427
Practice Address - Fax:530-671-6163
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 5686225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist