Provider Demographics
NPI:1235807876
Name:KREKLING, ERIN M (PT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:KREKLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2689
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-2689
Mailing Address - Country:US
Mailing Address - Phone:509-260-1051
Mailing Address - Fax:888-538-7694
Practice Address - Street 1:717 E 1ST ST
Practice Address - Street 2:
Practice Address - City:CLE ELUM
Practice Address - State:WA
Practice Address - Zip Code:98922-1252
Practice Address - Country:US
Practice Address - Phone:509-306-5105
Practice Address - Fax:888-538-7694
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61168907225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist