Provider Demographics
NPI:1497126072
Name:SHIVER, ERIKA (OT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SHIVER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 DORRIS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3107
Mailing Address - Country:US
Mailing Address - Phone:847-707-4386
Mailing Address - Fax:847-707-4386
Practice Address - Street 1:108 DORRIS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3107
Practice Address - Country:US
Practice Address - Phone:847-707-4386
Practice Address - Fax:847-707-4386
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist