Provider Demographics
NPI:1235540584
Name:SUERMANN, ERIKA (DPT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SUERMANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 STEWART LOOP
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-5505
Mailing Address - Country:US
Mailing Address - Phone:970-485-5726
Mailing Address - Fax:
Practice Address - Street 1:510 S 14TH ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-3731
Practice Address - Country:US
Practice Address - Phone:406-222-0672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT0012448225100000X
MTPTLIC9666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist