Provider Demographics
NPI:1174677926
Name:WILKE, ERIN (OTR)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WILKE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 TAFT HWY STE 121
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-3280
Mailing Address - Country:US
Mailing Address - Phone:775-287-9314
Mailing Address - Fax:
Practice Address - Street 1:1309 TAFT HWY STE 121
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-3280
Practice Address - Country:US
Practice Address - Phone:423-708-4445
Practice Address - Fax:423-443-3000
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0630225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1518981Medicaid
NV100508052Medicaid