Healthcare Provider Details

I. General information

NPI: 1669382032
Provider Name (Legal Business Name): ERIN CHADBOURNE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 RUSSELL ST
HADLEY MA
01035-9558
US

IV. Provider business mailing address

241 RUSSELL ST
HADLEY MA
01035-9558
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-5552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT89580
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: