Healthcare Provider Details

I. General information

NPI: 1043088248
Provider Name (Legal Business Name): MR. ERIK G RANKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERIK GEORGE RANKINS PTA, LMBT

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 12/18/2023
Certification Date: 12/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 LARKIN ST
HIGH POINT NC
27262-2120
US

IV. Provider business mailing address

1626 LARKIN ST
HIGH POINT NC
27262-2120
US

V. Phone/Fax

Practice location:
  • Phone: 336-337-4530
  • Fax:
Mailing address:
  • Phone: 336-337-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number18874
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA7783
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: