Provider Demographics
NPI:1881819720
Name:STOLTMAN, ERIN EARLENE (PT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:EARLENE
Last Name:STOLTMAN
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 1:1973 240TH ST
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MN
Mailing Address - Zip Code:56510-9141
Mailing Address - Country:US
Mailing Address - Phone:218-280-3839
Mailing Address - Fax:
Practice Address - Street 1:201 9TH ST W
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MN
Practice Address - Zip Code:56510-1243
Practice Address - Country:US
Practice Address - Phone:218-784-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist