Most Relevant Information
Provider Data
| NPI Number: | 1003450651 |
| Provider Name: | KAYLIE FISHER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT297602 |
Most Important Dates
| Enumeration Date: | 11/06/2019 |
| Last Updated: | 11/06/2019 |
Provider Practice Location
24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS
CA
926533634
Practice Location Phone/Fax
| Phone: | 9493406927 |
| Fax: |
Provider Mailing Location
24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS
CA
926533634
Provider Mailing Phone/Fax
| Phone: | 9493406927 |
| Fax: |