NPI 1336704816
Brandon Fisk, CTRS
Practice location
- Address
- 4000 San Ernesto Ave, Anchorage, AK 99508-2874
- Phone
- (907) 887-6325
- Mailing address
- 3805 Carolina Dr # 2, Anchorage, AK 99517-2582
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1336704816
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 May 2019
- Record last updated
- 9 May 2019
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.