Provider Demographics
NPI:1831954619
Name:SIAS, KIERA ELAINE
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:ELAINE
Last Name:SIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIERA
Other - Middle Name:ELAINE
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KIERA CROOK
Mailing Address - Street 1:49611 MOIESE VALLEY RD # B
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-8855
Mailing Address - Country:US
Mailing Address - Phone:406-544-5862
Mailing Address - Fax:
Practice Address - Street 1:49611 MOIESE VALLEY RD # B
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-8855
Practice Address - Country:US
Practice Address - Phone:406-544-5862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No385H00000XRespite Care FacilityRespite Care