Provider Demographics
NPI:1306510904
Name:DAIGLE, KIERA HOPE CAI XIU (MPO, L/CP, CO)
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:HOPE CAI XIU
Last Name:DAIGLE
Suffix:
Gender:F
Credentials:MPO, L/CP, CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HANGER CLINIC: PROSTHETICS AND ORTHOTICS
Mailing Address - Street 2:4009 COLBY AVE
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201
Mailing Address - Country:US
Mailing Address - Phone:425-252-5309
Mailing Address - Fax:425-252-8745
Practice Address - Street 1:HANGER CLINIC: PROSTHETICS AND ORTHOTICS
Practice Address - Street 2:4009 COLBY AVE
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-252-5309
Practice Address - Fax:425-252-8745
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Z00000X
WA61209365224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist