MEDICARE: JEREMY KIER

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	MA60719543	WA

General Provider Information

NPI Number	:	1205374238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY KIER

Provider Business Mailing Address
First Line	:	931 HILDEBRAND LN NE
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2823
Country	:	US
Telephone Number	:	206-842-2690
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 HILDEBRAND LN NE
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2823
Country	:	US
Telephone Number	:	206-842-2690
Fax Number	:

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

Provider Enumeration Date	:	02/10/2017
Last Update Date	:	02/10/2017

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Directions to “ JEREMY KIER ” Practice Location

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