Healthcare Provider Details

I. General information

NPI: 1417830449
Provider Name (Legal Business Name): MARI BIERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 BERRYWOOD DR STE 204
COLUMBIA MO
65201-6517
US

IV. Provider business mailing address

3501 BARCUS CT
COLUMBIA MO
65203-9386
US

V. Phone/Fax

Practice location:
  • Phone: 573-449-8771
  • Fax:
Mailing address:
  • Phone: 815-993-6274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number2024023350
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: