Provider Demographics
NPI:1629146717
Name:ALFT, ERIN M (MPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:ALFT
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 1:1765 THIERER RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3721
Mailing Address - Country:US
Mailing Address - Phone:608-417-8094
Mailing Address - Fax:608-245-0913
Practice Address - Street 1:1765 THIERER RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3721
Practice Address - Country:US
Practice Address - Phone:608-241-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5963-0242251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI36115700Medicare ID - Type Unspecified