Provider Demographics
NPI:1861486805
Name:BEARD, ERIN SULTEMEIER (PT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:SULTEMEIER
Last Name:BEARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 JAMES CASEY ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1120
Mailing Address - Country:US
Mailing Address - Phone:512-445-5213
Mailing Address - Fax:512-445-4353
Practice Address - Street 1:4310 JAMES CASEY ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1120
Practice Address - Country:US
Practice Address - Phone:512-445-5213
Practice Address - Fax:512-445-4353
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11506602251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8543250OtherAETNA
P00065911OtherRR MC
TX8T1357OtherBCBS
0082279OtherBLUELINK
TX8543250OtherAETNA
TX8T1357OtherBCBS
P00065911OtherRR MC