Individual provider

MISS TIARA Z LIBERTY, C.M.T

CMS NPPES lists MISS TIARA Z LIBERTY as an individual provider record with NPI 1003040437. The current record reports a primary practice location in MISSOULA, MT and primary taxonomy code 225700000X.

NPI 1003040437Record type Type 1Primary taxonomy 225700000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1203 MOUNT AVEMISSOULA, MT 598015601

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 225700000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
May 13, 2009

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.