NPI 1265524193

Dustin Jay Fieldsted, PT

Practitioner Specialist Nampa, ID

Practice location

Address: 337 W Iowa Ave, Nampa, ID 83686
Phone: (208) 467-7889
Fax: (208) 467-7800

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT-1955 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1265524193
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.