Provider Demographics
NPI:1316565211
Name:WATLINGTON, ERIN MAUREEN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MAUREEN
Last Name:WATLINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 193RD STREET CT E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-5064
Mailing Address - Country:US
Mailing Address - Phone:910-658-1083
Mailing Address - Fax:
Practice Address - Street 1:3370 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:JOINT BASE LEWIS- MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98433-6828
Practice Address - Country:US
Practice Address - Phone:534-772-7472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer