Individual provider · Type 1 NPI
Jesse Fischer, C. PED, BOCPD
Pedorthist · St. Louis, MO
NPI number
1689085706
Active
Practice location
11693 Manchester Rd
St. Louis, MO 63131-4613
Fax (314) 822-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | CPED4080 (DE) |
| Pedorthist | 224L00000X | C51558 (MD) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
3 other providers at this address
Other pedorthist providers in St. Louis
About NPI 1689085706
Jesse Fischer, C. PED, BOCPD's National Provider Identifier is 1689085706, issued on May 12, 2014. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in St. Louis, MO. The record was last updated on May 12, 2014.