Provider Demographics
NPI:1235981184
Name:SIERRA THERAPY INC
Entity type:Organization
Organization Name:SIERRA THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BUESNEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-296-6362
Mailing Address - Street 1:1324 DISC DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-0684
Mailing Address - Country:US
Mailing Address - Phone:775-684-1224
Mailing Address - Fax:775-360-6206
Practice Address - Street 1:1324 DISC DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-0684
Practice Address - Country:US
Practice Address - Phone:775-384-1224
Practice Address - Fax:775-360-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy