Healthcare Provider Details

I. General information

NPI: 1215149281
Provider Name (Legal Business Name): ERIN KATE PRESSLER ATC, EMT-B
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5362 STATE ROUTE 183 NE
MAGNOLIA OH
44643-8481
US

IV. Provider business mailing address

4522 BRUNNERDALE AVE NW
CANTON OH
44718-2106
US

V. Phone/Fax

Practice location:
  • Phone: 330-866-9371
  • Fax:
Mailing address:
  • Phone: 330-499-6945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT. 002784
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: