Healthcare Provider Details

I. General information

NPI: 1306556477
Provider Name (Legal Business Name): AMY PIERZCHALSKI CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 HIGHGATE COMMONS RD
SAINT ALBANS VT
05478-2654
US

IV. Provider business mailing address

32 BROOKSIDE DR
SHELDON VT
05483-4410
US

V. Phone/Fax

Practice location:
  • Phone: 802-752-7175
  • Fax:
Mailing address:
  • Phone: 802-752-7175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number164.0000050
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: