MEDICARE: DR. CHRISTINE MICHELLE PIETON DPT

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	225100000X	Physical Therapist	41699	CA

General Provider Information

NPI Number	:	1225431158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MICHELLE PIETON DPT

Provider Business Mailing Address
First Line	:	1211 COAST VILLAGE RD STE 5
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2745
Country	:	US
Telephone Number	:	805-628-4547
Fax Number	:	805-285-7508

Provider Business Practice Location Address
First Line	:	1211 COAST VILLAGE RD STE 5
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2745
Country	:	US
Telephone Number	:	805-628-4547
Fax Number	:	805-285-7508

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

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	04/21/2023

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