Provider Demographics
NPI:1811787070
Name:PIERCE, VANESSA MICHELLE (COTA)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:MICHELLE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 6TH ST W APT 4
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-1346
Mailing Address - Country:US
Mailing Address - Phone:702-481-4928
Mailing Address - Fax:
Practice Address - Street 1:841 W WASHINGTON ST STE 500
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4178
Practice Address - Country:US
Practice Address - Phone:906-225-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-10
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5750-27224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant