Provider Demographics
NPI:1457549495
Name:PIERSON, DAVID HOWARD (RPT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:PIERSON
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 BREE CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938-9699
Mailing Address - Country:US
Mailing Address - Phone:530-343-7762
Mailing Address - Fax:
Practice Address - Street 1:111 RALEY BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8351
Practice Address - Country:US
Practice Address - Phone:530-898-0842
Practice Address - Fax:530-898-0844
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT14089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist