Provider Demographics
NPI:1114463247
Name:MESSIER, LIANNE ELIZABETH (DPT)
Entity Type:Individual
Prefix:
First Name:LIANNE
Middle Name:ELIZABETH
Last Name:MESSIER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5736 LAS VIRGENES RD
Mailing Address - Street 2:131
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2633
Mailing Address - Country:US
Mailing Address - Phone:818-264-6349
Mailing Address - Fax:
Practice Address - Street 1:30135 AGOURA RD
Practice Address - Street 2:SUITE C
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4338
Practice Address - Country:US
Practice Address - Phone:818-707-7344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292608225100000X
MA22475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist