MEDICARE: DR. BRANDI RAE PIERCY DPT

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	2251S0007X	Sports Physical Therapist	1295886	TX

General Provider Information

NPI Number	:	1922524065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDI RAE PIERCY DPT

Provider Business Mailing Address
First Line	:	9042 LEGACY CREEK CT
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316
Country	:	US
Telephone Number	:	281-468-5658
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 WINDHAVEN PKWY STE 210
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8022
Country	:	US
Telephone Number	:	972-473-8980
Fax Number	:

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

Provider Enumeration Date	:	08/21/2017
Last Update Date	:	08/21/2017

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