Latrisha K Pierce, MT-23990

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-23990 Issued in AZ

Practice address

2394 E Camelback Rd Ste 120
Phoenix, AZ 85016-3464

Phone

(602) 688-9270

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1487420147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 E CAMELBACK RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163464",
            "telephone_number": "602-688-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 E CAMELBACK RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163464",
            "telephone_number": "602-688-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "LATRISHA",
        "middle_name": "K",
        "credential": "MT-23990",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-23990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Pierce, PHARMD
• Jacqualine Pierce, MSW, LCSW
• Jacqueline Pierce, O.D.
• Jordan Pierce
• Kyle Mathew Pierce, DO
• Olivia Pierce, RN
• Patrick K Pierce, FNP-C
• Rice Pierce Jr., LCSW
• Tamella Pierce, MS
• Tara Leigh Pierce, CPNP

• Massage Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.