Healthcare Provider Details

I. General information

NPI: 1568832756
Provider Name (Legal Business Name): PATRICIA VILLARS ERICKSON P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SUMMERHAVEN LK
KEARNEY NE
68847-9422
US

IV. Provider business mailing address

75 SUMMERHAVEN LK
KEARNEY NE
68847-9422
US

V. Phone/Fax

Practice location:
  • Phone: 308-237-6848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number427
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: