MEDICARE: JESSICA HATFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	07209	OH

General Provider Information

NPI Number	:	1851917124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HATFIELD

Provider Business Mailing Address
First Line	:	714 BEECHWOOD ST
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-2747
Country	:	US
Telephone Number	:	330-749-3343
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 SNYDER AVE
Second Line	:
City	:	BARBERTON
State	:	OH
Zip	:	44203-4131
Country	:	US
Telephone Number	:	330-745-6028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	06/22/2020

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Directions to “ JESSICA HATFIELD ” Practice Location

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