Individual
JESSICA CAROL FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3413 COBBLE ST, NASHVILLE, TN 37211-7917
(615) 970-1441
Mailing address
3413 COBBLE ST, NASHVILLE, TN 37211-7917
(615) 970-1441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6139
TN
225200000X
Physical Therapy Assistant
A02535
KY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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