Individual
HARLEY FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L, PTA
Contact information
Practice address
2755 MOTTMAN RD SW, TUMWATER, WA 98512-5684
(360) 352-5077
Mailing address
512 12TH AVE SE APT 106, OLYMPIA, WA 98501-2364
(478) 494-3544
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
60888319
WA
225200000X
Physical Therapy Assistant
Primary
60888330
WA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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