| Doctor Name: | MS. CASEY PIERCEY |
| NPI Number: | 1124402417 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CSSD |
| License Number: | 1034278 |
| Business Practice Address: | 85 Sierra Park Rd Mammoth Lakes, CA - 935462073 |
| Business Phone Number: | 7609244214 |
| Business Fax Number: | |
| Mailing Address: | 2471 Sunrise Dr, BISHOP |
| State: | CA |
| Postal Code: | 935143135 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2015 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 1034278 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |