Individual
SHANTELLE LEA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4310 LOWER HONOAPIILANI RD, #110, LAHAINA, HI 96761-9246
(808) 669-0078
(808) 669-0178
Mailing address
PO BOX 1314, FLORA VISTA, NM 87415-1314
(505) 486-1750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0011896
CO
225100000X
Physical Therapist
2333
NM
225100000X
Physical Therapist
Primary
3573
HI
Other
Enumeration date
03/09/2006
Last updated
03/06/2013
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