Doctor Name: | MR. WYETH ARTHUR PIERCE |
NPI Number: | 1659448702 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | PT 29338 |
Business Practice Address: | 3449 Valle Verde Dr Ste C Napa, CA - 945582414 |
Business Phone Number: | 7072266668 |
Business Fax Number: | 7072266699 |
Mailing Address: | 1129 Pine St, NAPA |
State: | CA |
Postal Code: | 945593818 |
Phone Number: | 7077536028 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT 29338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |