Provider Demographics
NPI:1760502744
Name:QUIER, DAVID J (LMT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:QUIER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:DAVE'S
Other - Middle Name:
Other - Last Name:NMT & FITNESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:54 KIERNAN AVE
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1016
Mailing Address - Country:US
Mailing Address - Phone:610-838-0861
Mailing Address - Fax:
Practice Address - Street 1:1150 S CEDAR CREST BLVD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-7900
Practice Address - Country:US
Practice Address - Phone:610-417-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG000298225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20975OtherAMTA CERTIFICATION #