Doctor Name: | CHET ERICKSON |
NPI Number: | 1912089194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT 940 |
Business Practice Address: | 121 North Washington St. Afton, WY - 831101745 |
Business Phone Number: | 3078854278 |
Business Fax Number: | 3078854270 |
Mailing Address: | Po Box 1745, 121 N. Washington St AFTON |
State: | WY |
Postal Code: | 831101745 |
Phone Number: | 3078854278 |
Fax Number: | 3078854270 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |