Provider Demographics
NPI:1396484960
Name:ZUBILLAGA, ERINN DANIELLE (LAT, ATC)
Entity type:Individual
Prefix:
First Name:ERINN
Middle Name:DANIELLE
Last Name:ZUBILLAGA
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 VALE ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1835
Mailing Address - Country:US
Mailing Address - Phone:530-310-8767
Mailing Address - Fax:
Practice Address - Street 1:6055 LANCER ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1208
Practice Address - Country:US
Practice Address - Phone:775-746-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05066672255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer