IndividualActive
Brian Fisher, LAT, ATC
NPI 1679091656 · Student in an Organized Health Care Education/Training Program · Grand Prairie, TX
Provider details
- NPI number
- 1679091656
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3509 Vista Circle
Grand Prairie, TX 75052
Phone: (972) 623-8203
Approximate (ZIP-level) locationGet directions
Mailing address
3509 Vista Cir
Grand Prairie, TX 75052-7861
Registry dates
- Enumerated
- 2017-08-30
- Last updated
- 2022-07-21
- Certified
- 2020-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.