Provider Demographics
NPI:1952299802
Name:KILCHER, ERIKA ADDIE (LMT, LPTA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ADDIE
Last Name:KILCHER
Suffix:
Gender:F
Credentials:LMT, LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 CLINTON RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-9402
Mailing Address - Country:US
Mailing Address - Phone:517-740-8401
Mailing Address - Fax:
Practice Address - Street 1:6040 CLINTON RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-9402
Practice Address - Country:US
Practice Address - Phone:517-740-8401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501016389225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist