Doctor Name: | MR. PETER L ERICKSON |
NPI Number: | 1194892760 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT6345 |
Business Practice Address: | 21525 Hwy 410 E Suite B Bonney Lake, WA - 983914101 |
Business Phone Number: | 2538268520 |
Business Fax Number: | 2538268522 |
Mailing Address: | 2726 Griffin Ave C, ENUMCLAW |
State: | WA |
Postal Code: | 980222362 |
Phone Number: | 3608026757 |
Fax Number: | 3608026756 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |