Healthcare Provider Details
I. General information
NPI: 1710386487
Provider Name (Legal Business Name): ERIN HERRICK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/19/2014
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
170 TAYLOR STATION RD
COLUMBUS OH
43213-4491
US
IV. Provider business mailing address
170 TAYLOR STATION RD
COLUMBUS OH
43213-4491
US
V. Phone/Fax
- Phone: 614-545-7910
- Fax: 614-545-7901
- Phone: 614-545-7900
- Fax: 614-545-7901
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 15043 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | 15043 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: