Provider Demographics
NPI:1528594850
Name:DIXON, ERYN (DPT)
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERYN
Other - Middle Name:
Other - Last Name:HYDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:12525 E MISSION AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1063
Mailing Address - Country:US
Mailing Address - Phone:509-928-1500
Mailing Address - Fax:509-928-8006
Practice Address - Street 1:12525 E MISSION AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1063
Practice Address - Country:US
Practice Address - Phone:509-928-1500
Practice Address - Fax:509-928-8006
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60661865225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist