Individual
JOEL DOUGLAS FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3442 STELLHORN RD, FORT WAYNE, IN 46815-4630
(419) 439-3745
Mailing address
12705 ROAD 162, PAULDING, OH 45879-8825
(419) 439-3745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
33.022928
OH
225700000X
Massage Therapist
Primary
MT21605787
IN
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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