Healthcare Provider Details

I. General information

NPI: 1447042114
Provider Name (Legal Business Name): ERIN HARRIS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 UNION AVE STE 195
MEMPHIS TN
38104-6603
US

IV. Provider business mailing address

1490 COBBLESTONE CV
GERMANTOWN TN
38138-1707
US

V. Phone/Fax

Practice location:
  • Phone: 901-759-3280
  • Fax:
Mailing address:
  • Phone: 901-871-4388
  • Fax: 901-871-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number0000012440
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: