Provider Demographics
NPI:1972071744
Name:BUSH, CIERRA (DPT)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:BUSH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:656 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1836
Mailing Address - Country:US
Mailing Address - Phone:716-883-0515
Mailing Address - Fax:716-883-8764
Practice Address - Street 1:423 TREELINE PARK STE 325
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2087
Practice Address - Country:US
Practice Address - Phone:210-805-9800
Practice Address - Fax:210-805-8770
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2023-06-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist