Provider Demographics
NPI:1669982625
Name:HENDRON MENNINGER, ERIKA INGRID (OTD, ORT/L)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:INGRID
Last Name:HENDRON MENNINGER
Suffix:
Gender:F
Credentials:OTD, ORT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18302 NE 107TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-2863
Mailing Address - Country:US
Mailing Address - Phone:425-736-4558
Mailing Address - Fax:
Practice Address - Street 1:9450 ETHAN WADE WAY SE
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9520
Practice Address - Country:US
Practice Address - Phone:425-831-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist