Provider Demographics
NPI:1467685412
Name:BLESSMAN, ERIN MILLER (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MILLER
Last Name:BLESSMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6140 TUTT BLVD
Mailing Address - Street 2:STE 120
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923
Mailing Address - Country:US
Mailing Address - Phone:719-266-0438
Mailing Address - Fax:719-574-7388
Practice Address - Street 1:6140 TUTT BLVD
Practice Address - Street 2:STE 120
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923
Practice Address - Country:US
Practice Address - Phone:719-266-0438
Practice Address - Fax:719-574-7388
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT10479225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist