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DR. JESSICA ANNE TIERNEY DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1427514629

Individual Registrant:
DR. JESSICA ANNE TIERNEY DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6800 N 79TH ST STE 202  NIWOT, CO 80503 US
Tel: 720-572-5236  Fax: 720-684-6913

Contact information for business:
6800 N 79TH ST STE 202  NIWOT, CO 80503-8979 US
Tel: 720-572-5236  Fax: 720-684-6913

Registration Information:
NPI: 1427514629
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
WAPT60902832
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
COPTL.0016661

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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