Provider Demographics
NPI:1144763814
Name:PIERCE, BRYANNA MARIE (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:BRYANNA
Middle Name:MARIE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MCMURRY UNIVERSITY BOX 188
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79697-6015
Mailing Address - Country:US
Mailing Address - Phone:325-793-4745
Mailing Address - Fax:
Practice Address - Street 1:1400 SAYLES BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79697-6015
Practice Address - Country:US
Practice Address - Phone:325-793-4745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT73172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer