Provider Demographics
NPI:1427261460
Name:MIERS, DAVID SCOTT (PT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:MIERS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 FRINGE LN
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-6205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 NAZARETH RD
Practice Address - Street 2:SUITE 10
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8336
Practice Address - Country:US
Practice Address - Phone:610-253-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist