Provider Demographics
NPI:1528601507
Name:FIELDS, CHRISTOPHER RYAN (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RYAN
Last Name:FIELDS
Suffix:
Gender:M
Credentials:PT, DPT, OCS
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Mailing Address - Street 1:34 GLENBROOK DR APT 2C
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-9723
Mailing Address - Country:US
Mailing Address - Phone:978-314-7705
Mailing Address - Fax:
Practice Address - Street 1:306 HIGH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2611
Practice Address - Country:US
Practice Address - Phone:413-773-3379
Practice Address - Fax:413-776-5050
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA21805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist