Healthcare Provider Details

I. General information

NPI: 1760537369
Provider Name (Legal Business Name): ERIKA RAE KUHR ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BOYDEN LANE
DEERFIELD MA
01342
US

IV. Provider business mailing address

PO BOX 116
DEERFIELD MA
01342-0116
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-1832
  • Fax: 413-774-1427
Mailing address:
  • Phone: 413-774-1832
  • Fax: 413-774-1427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1663
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: