Provider Demographics
NPI:1588323166
Name:VIERS, ANNA KATHRYN (PTA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:KATHRYN
Last Name:VIERS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 138
Mailing Address - Street 2:
Mailing Address - City:ITALY
Mailing Address - State:TX
Mailing Address - Zip Code:76651-0138
Mailing Address - Country:US
Mailing Address - Phone:972-935-4433
Mailing Address - Fax:
Practice Address - Street 1:1000 E MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3331
Practice Address - Country:US
Practice Address - Phone:972-723-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-11
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2159658225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant