Provider Demographics
NPI:1760648794
Name:FESLER, JAMES M (LMT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:FESLER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:5032 ROUNDTREE CT
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76137-2193
Mailing Address - Country:US
Mailing Address - Phone:817-903-8342
Mailing Address - Fax:817-750-2786
Practice Address - Street 1:5040 N TARRANT PKWY
Practice Address - Street 2:SUITE 124
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-1389
Practice Address - Country:US
Practice Address - Phone:817-750-2777
Practice Address - Fax:817-750-2786
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXMT047350225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist