MEDICARE: ALEXANDRA PIERCE

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	225700000X	Massage Therapist	189970	OK

General Provider Information

NPI Number	:	1659229730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA PIERCE

Provider Business Mailing Address
First Line	:	13224 W HIGHWAY 16
Second Line	:
City	:	HASKELL
State	:	OK
Zip	:	74436-8606
Country	:	US
Telephone Number	:	918-625-3164
Fax Number	:

Provider Business Practice Location Address
First Line	:	4845 S SHERIDAN RD STE 514G
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-5719
Country	:	US
Telephone Number	:	918-625-3164
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ ALEXANDRA PIERCE ” Practice Location

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