Provider Demographics
NPI:1700228376
Name:NORRIS, SIERRA (MT-BC)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:NORRIS
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 1:8211 N EMERINE PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3312
Mailing Address - Country:US
Mailing Address - Phone:520-256-1784
Mailing Address - Fax:
Practice Address - Street 1:8211 N EMERINE PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3312
Practice Address - Country:US
Practice Address - Phone:520-256-1784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist