NPI 1013494079

Ethan William Kennedy Fisher, ATCLAT

Practitioner Athletic Trainer North Attleboro, MA

Practice location

Address: 44 Eddy St, North Attleboro, MA 02760-2240
Phone: (508) 212-4962

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 3093 (MA)

Other Specialist/Technologist providers in Massachusetts →

Registry record

NPI: 1013494079
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2018
Record last updated: 23 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.