Provider Demographics
NPI:1790208940
Name:GILBERTSON, ERIN M (LMT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:GILBERTSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3275F BULL DOG CREEK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99181-9653
Mailing Address - Country:US
Mailing Address - Phone:253-653-3543
Mailing Address - Fax:
Practice Address - Street 1:3275F BULL DOG CREEK RD
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99181-9653
Practice Address - Country:US
Practice Address - Phone:253-653-3543
Practice Address - Fax:253-653-3543
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist