Provider Demographics
NPI:1033994603
Name:PIERONI, CHRISTOPHER LANDON (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LANDON
Last Name:PIERONI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71653-1942
Mailing Address - Country:US
Mailing Address - Phone:870-265-3950
Mailing Address - Fax:870-265-2525
Practice Address - Street 1:316 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKE VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71653-1942
Practice Address - Country:US
Practice Address - Phone:870-265-3950
Practice Address - Fax:870-265-2525
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist