| Doctor Name: | SHANTELLE LEA PIERCE |
| NPI Number: | 1639147267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 0011896 |
| Business Practice Address: | 4310 Lower Honoapiilani Rd #110 Lahaina, HI - 967619246 |
| Business Phone Number: | 8086690078 |
| Business Fax Number: | 8086690178 |
| Mailing Address: | Po Box 1314, FLORA VISTA |
| State: | NM |
| Postal Code: | 874151314 |
| Phone Number: | 5054861750 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 03/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0011896 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |