Provider Demographics
NPI:1629514971
Name:KIERPAL, ARKADIUSZ (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:ARKADIUSZ
Middle Name:
Last Name:KIERPAL
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:MR
Other - First Name:AREK
Other - Middle Name:
Other - Last Name:KIERPAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:515 FRONT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6433
Mailing Address - Country:US
Mailing Address - Phone:470-313-8252
Mailing Address - Fax:
Practice Address - Street 1:5103 GRACE PARK DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6002
Practice Address - Country:US
Practice Address - Phone:919-846-7455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP5814225100000X
NY016514-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist