Provider Demographics
NPI:1093552036
Name:DEE, SIERRA SKYE (LAC)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:SKYE
Last Name:DEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 SUN SPIRIT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6365
Mailing Address - Country:US
Mailing Address - Phone:252-349-6099
Mailing Address - Fax:
Practice Address - Street 1:9217 W US HIGHWAY 290 STE 150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-7818
Practice Address - Country:US
Practice Address - Phone:512-522-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02164171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty