Provider Demographics
NPI:1790068070
Name:CHLUMSKY, ERIN (CMT, RYT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CHLUMSKY
Suffix:
Gender:F
Credentials:CMT, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 JACKSON PL APT B
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-2405
Mailing Address - Country:US
Mailing Address - Phone:720-515-7229
Mailing Address - Fax:
Practice Address - Street 1:2995 BASELINE RD
Practice Address - Street 2:STE. 101
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2318
Practice Address - Country:US
Practice Address - Phone:720-515-7229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7025174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist