Provider Demographics
NPI:1427012426
Name:ZAHN, ERIN J (MPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:J
Last Name:ZAHN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:J
Other - Last Name:LAKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:3015 LIMITED LN NW
Practice Address - Street 2:SUITE B
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-2638
Practice Address - Country:US
Practice Address - Phone:360-709-0700
Practice Address - Fax:360-709-0703
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8572ZA225100000X
WAPT 00009080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00004294OtherRAILROAD MEDICARE
WA0291647OtherDEPT. OF LABOR AND INDUSTRIES
WA169254OtherDEPT OF LABOR & INDUSTRIE
WA8336851Medicaid
WA8572ZAOtherREGENCE BLUE SHIELD
WA8934686OtherCRIME VICTIMS
WA8934686OtherCRIME VICTIMS