Kendell Leigh Erickson, PT, DPT, ATC

NPI #1043044076 in St Maries, Idaho

Provider Information

NPI Number: 1043044076
Entity Type: Individual
Name: Kendell Leigh Erickson, PT, DPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC
Enumeration Date: Aug 30, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 229 S 7TH ST
City: St Maries
State: Idaho
ZIP Code: 83861-1803
Phone: (425) 315-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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