Provider Demographics
NPI:1326247859
Name:HESS, SIENNA MARIE (PTA)
Entity Type:Individual
Prefix:
First Name:SIENNA
Middle Name:MARIE
Last Name:HESS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:SIENNA
Other - Middle Name:
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:34 N BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5436
Mailing Address - Country:US
Mailing Address - Phone:480-507-7404
Mailing Address - Fax:
Practice Address - Street 1:34 N BIRCH ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5436
Practice Address - Country:US
Practice Address - Phone:480-507-7404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6456A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant