Provider Demographics
NPI:1659600237
Name:FIELDER, SHEILAGH MORGAN (DPT)
Entity Type:Individual
Prefix:
First Name:SHEILAGH
Middle Name:MORGAN
Last Name:FIELDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHEILAGH
Other - Middle Name:
Other - Last Name:JANKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PSC 303
Mailing Address - Street 2:BOX 51
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96204-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 303
Practice Address - Street 2:BOX 51
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96204-9998
Practice Address - Country:US
Practice Address - Phone:0108-958-2873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0057971225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist