Provider Demographics
NPI:1467182881
Name:PEARSON, GIGGI (MT-BC)
Entity Type:Individual
Prefix:
First Name:GIGGI
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 STONE HAWK CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2814
Mailing Address - Country:US
Mailing Address - Phone:573-837-0610
Mailing Address - Fax:
Practice Address - Street 1:2338 STONE HAWK CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2814
Practice Address - Country:US
Practice Address - Phone:573-837-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist