MEDICARE: JESSICA KIER PT

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	6789	OK

General Provider Information

NPI Number	:	1518548700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA KIER PT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	726-202-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	1118 S MAIN ST
Second Line	:
City	:	GROVE
State	:	OK
Zip	:	74344-2800
Country	:	US
Telephone Number	:	918-786-9883
Fax Number	:	918-786-9893

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

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	08/14/2025

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Directions to “ JESSICA KIER PT” Practice Location

Language	Start Address	Practice Location

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