Provider Demographics
NPI:1477872737
Name:BIERY, HEATHER (LAC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:BIERY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2285
Mailing Address - Street 2:
Mailing Address - City:CRESTED BUTTE
Mailing Address - State:CO
Mailing Address - Zip Code:81224-2285
Mailing Address - Country:US
Mailing Address - Phone:970-901-5039
Mailing Address - Fax:
Practice Address - Street 1:427 BELLEVIEW AVE.
Practice Address - Street 2:SUITE 101
Practice Address - City:CRESTED BUTTE
Practice Address - State:CO
Practice Address - Zip Code:81224
Practice Address - Country:US
Practice Address - Phone:970-901-5039
Practice Address - Fax:970-349-5027
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1318171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist