Provider Demographics
NPI:1093208340
Name:BIERSCHEID, CURTIS JAMES (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:JAMES
Last Name:BIERSCHEID
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 E MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3608
Mailing Address - Country:US
Mailing Address - Phone:360-450-9290
Mailing Address - Fax:
Practice Address - Street 1:1828 E SKY HARBOR CIRCLE NORTH
Practice Address - Street 2:BUILDING 2, SUITE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034
Practice Address - Country:US
Practice Address - Phone:602-244-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-30014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist