Provider Demographics
NPI:1881640001
Name:PIERCE, RAYMOND R (MS, PT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:R
Last Name:PIERCE
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 EMORY VALLEY RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-7763
Mailing Address - Country:US
Mailing Address - Phone:865-483-0383
Mailing Address - Fax:865-483-0533
Practice Address - Street 1:661 EMORY VALLEY RD
Practice Address - Street 2:SUITE A
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-7763
Practice Address - Country:US
Practice Address - Phone:865-483-0383
Practice Address - Fax:865-483-0533
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13622251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1134919OtherUNITED HEALTHCARE
TN7763569OtherCIGNA
TN3650949Medicaid
TN5564393OtherAETNA
TN4023490OtherBLUE CROSS BLUE SHIELD
TN3650949Medicare ID - Type Unspecified