Healthcare Provider Details

I. General information

NPI: 1427012426
Provider Name (Legal Business Name): ERIN J ZAHN MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN J LAKIN MPT

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 LIMITED LN NW SUITE B
OLYMPIA WA
98502-2638
US

IV. Provider business mailing address

790 REMINGTON BLVD
BOLINGBROOK IL
60440-4909
US

V. Phone/Fax

Practice location:
  • Phone: 360-709-0700
  • Fax: 360-709-0703
Mailing address:
  • Phone: 630-296-2223
  • Fax: 630-759-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8572ZA
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 00009080
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: