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NPI Code Detail

MEDICARE: MS. KAREY LEIGH PIERCE MSPT

MEDICARE: MS. KAREY LEIGH PIERCE MSPT
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
1225100000XPhysical TherapistPT22294FL
2225100000XPhysical Therapist0400083510VT

General Provider Information

NPI Number : 1174743496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREY LEIGH PIERCE MSPT
Provider Business Mailing Address
First Line : PO BOX 905
Second Line :
City : ST JOHNSBURY
State : VT
Zip : 05819-0905
Country : US
Telephone Number : 802-626-4224
Fax Number : 802-626-5024
Provider Business Practice Location Address
First Line : 569 MAIN ST
Second Line :
City : LYNDONVILLE
State : VT
Zip : 05851-9240
Country : US
Telephone Number : 802-626-4224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2007
Last Update Date : 09/03/2019

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