Doctor Name: | MRS. ERIN PERSON-WITT |
NPI Number: | 1801190517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 31108 Government Dr Pequot Lakes, MN - 564721001 |
Business Phone Number: | 2185685648 |
Business Fax Number: | 2185685698 |
Mailing Address: | 31554 416th Ave, AITKIN |
State: | MN |
Postal Code: | 564315764 |
Phone Number: | 2189271773 |
Fax Number: | 2185685698 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |