Provider Demographics
NPI:1336993633
Name:LILES, ERIN KRIER (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KRIER
Last Name:LILES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:GRACE
Other - Last Name:KRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:203 S SANTA CLAUS LN STE D
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-7711
Mailing Address - Country:US
Mailing Address - Phone:907-887-1697
Mailing Address - Fax:
Practice Address - Street 1:203 S SANTA CLAUS LN STE D
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-7711
Practice Address - Country:US
Practice Address - Phone:907-887-1697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK174398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist