Provider Demographics
NPI:1568879633
Name:JARRETT, ERIN BOWER (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:BOWER
Last Name:JARRETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PROVIDENCE TRL STE 102
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6386
Mailing Address - Country:US
Mailing Address - Phone:615-553-9761
Mailing Address - Fax:615-553-9762
Practice Address - Street 1:108 PROVIDENCE TRL STE 102
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6386
Practice Address - Country:US
Practice Address - Phone:615-553-9761
Practice Address - Fax:615-553-9762
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1568879633Medicaid