Provider Demographics
NPI:1366845604
Name:PIERRY, MICHELE (DPT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:PIERRY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3211
Mailing Address - Country:US
Mailing Address - Phone:908-930-6981
Mailing Address - Fax:
Practice Address - Street 1:610 FREEDOM BUSINESS CTR DR STE 100
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1329
Practice Address - Country:US
Practice Address - Phone:484-224-7913
Practice Address - Fax:484-224-7914
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA018599225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007783630018Medicaid