Provider Demographics
NPI:1225190515
Name:ERLER, ELLEN CHAPMAN (LMT)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:CHAPMAN
Last Name:ERLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ST JOHN STREET
Mailing Address - Street 2:SUITE 223
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3058
Mailing Address - Country:US
Mailing Address - Phone:207-771-0977
Mailing Address - Fax:
Practice Address - Street 1:222 ST JOHN STREET
Practice Address - Street 2:SUITE 223
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3058
Practice Address - Country:US
Practice Address - Phone:207-771-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT 840225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist