Provider Demographics
NPI:1417586009
Name:BOIES-HARRIS, PIPER (PT, DPT)
Entity type:Individual
Prefix:
First Name:PIPER
Middle Name:
Last Name:BOIES-HARRIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-7862
Mailing Address - Country:US
Mailing Address - Phone:361-443-6060
Mailing Address - Fax:
Practice Address - Street 1:1004 MARBLE HEIGHTS DR STE B
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4543
Practice Address - Country:US
Practice Address - Phone:830-798-3497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1261927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist