NPI 1689085706

Jesse Fischer, CPEDBOCPD

Practitioner Pedorthist Saint Louis, MO

Practice location

Address: 11693 Manchester Rd, Saint Louis, MO 63131-4613
Phone: (314) 822-3300
Fax: (314) 822-1082

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED4080 (DE)

Other Pedorthist providers in Missouri →

Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence C51558 (MD)

Registry record

NPI: 1689085706
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2014
Record last updated: 12 May 2014

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.