Provider Demographics
NPI:1518046168
Name:YOUNG, ERIN COLLEEN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:COLLEEN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W NORTH RIVER DR
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2284
Mailing Address - Country:US
Mailing Address - Phone:509-323-0066
Mailing Address - Fax:509-323-0067
Practice Address - Street 1:201 W NORTH RIVER DR
Practice Address - Street 2:SUITE 510
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2284
Practice Address - Country:US
Practice Address - Phone:509-323-0066
Practice Address - Fax:509-323-0067
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8395618Medicaid
WA8395618Medicaid