Provider Demographics
NPI:1184948788
Name:PIERCE, SHARON PATRICIA (CMT)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:PATRICIA
Last Name:PIERCE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 50TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-2226
Mailing Address - Country:US
Mailing Address - Phone:916-230-6759
Mailing Address - Fax:
Practice Address - Street 1:1831 I ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-3003
Practice Address - Country:US
Practice Address - Phone:916-230-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist