Individual
RHETT FIELDSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60579
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327609
WA L&I
OR
05
—
500672686
—
OR
01
—
P01396207
RR MEDICARE PTAN
OR
Enumeration date
05/21/2014
Last updated
02/09/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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