MEDICARE: MR. CHRISTOPHER PIERCE MSPT, CSCS

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	2722	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	TAX-ID	OTHER	NH	CIGNA
3	AA51374	OTHER	NH	HARVARD PILGRIM
4	08Y003616NH04	OTHER	NH	ANTHEM BC/BS
5	1227022	OTHER	MA	AETNA

General Provider Information

NPI Number	:	1083702211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER PIERCE MSPT, CSCS

Provider Business Mailing Address
First Line	:	58 RANGE RD STE 16
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-890-8844
Fax Number	:	603-890-8845

Provider Business Practice Location Address
First Line	:	58 RANGE RD STE 16
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-890-8844
Fax Number	:	603-890-8845

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	02/13/2024

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Directions to “ MR. CHRISTOPHER PIERCE MSPT, CSCS” Practice Location

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