Individual
JACK FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 WESTVIEW PARK PL, KALISPELL, MT 59901-3074
(406) 393-2474
Mailing address
100 WESTVIEW PARK PL, KALISPELL, MT 59901-3074
(406) 393-2474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-21865
MT
Other
Enumeration date
03/05/2015
Last updated
08/17/2023
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