Provider Demographics
NPI:1669626644
Name:MEYERS, ERIN KEEFE (LAC, CMT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KEEFE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:LAC, CMT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:COLLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC, CMT
Mailing Address - Street 1:556 LYDING LN
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-3311
Mailing Address - Country:US
Mailing Address - Phone:707-849-5728
Mailing Address - Fax:
Practice Address - Street 1:5 KELLER ST
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2349
Practice Address - Country:US
Practice Address - Phone:707-849-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12277171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist