Healthcare Provider Details

I. General information

NPI: 1619560059
Provider Name (Legal Business Name): ERIN K PRICHARD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 S 1ST ST
CLINTON IA
52732-4122
US

IV. Provider business mailing address

3821 HARTS MILL RD
CLINTON IA
52732-9702
US

V. Phone/Fax

Practice location:
  • Phone: 563-243-4301
  • Fax: 563-243-4302
Mailing address:
  • Phone: 563-593-1395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number106257
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: