Provider Demographics
NPI:1629191606
Name:BRENNAN, ERIN ALETA (AT,C)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ALETA
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 S PARK ST
Mailing Address - Street 2:APT E
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3249
Mailing Address - Country:US
Mailing Address - Phone:509-301-0801
Mailing Address - Fax:
Practice Address - Street 1:378 S PARK ST
Practice Address - Street 2:APT E
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-3249
Practice Address - Country:US
Practice Address - Phone:509-301-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer