Provider Demographics
NPI:1134547524
Name:FIELDS, KARI L (PT MS)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:L
Last Name:FIELDS
Suffix:
Gender:F
Credentials:PT MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-2940
Mailing Address - Country:US
Mailing Address - Phone:405-762-1639
Mailing Address - Fax:866-929-6046
Practice Address - Street 1:1615 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-2940
Practice Address - Country:US
Practice Address - Phone:405-762-1639
Practice Address - Fax:866-929-6046
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist