Provider Demographics
NPI:1619247087
Name:MCGEE, ERIN PATRICK (LMP)
Entity Type:Individual
Prefix:MR
First Name:ERIN
Middle Name:PATRICK
Last Name:MCGEE
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 18TH AVE APT 75
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-2104
Mailing Address - Country:US
Mailing Address - Phone:509-607-7787
Mailing Address - Fax:
Practice Address - Street 1:304 S WATER ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3617
Practice Address - Country:US
Practice Address - Phone:509-925-7246
Practice Address - Fax:509-935-4104
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60204246225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist