Provider Demographics
NPI:1750763272
Name:ERBACHER, ANSLEY (DPT)
Entity type:Individual
Prefix:
First Name:ANSLEY
Middle Name:
Last Name:ERBACHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 COLEMAN BLVD
Mailing Address - Street 2:APT 431
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6002
Mailing Address - Country:US
Mailing Address - Phone:864-567-6361
Mailing Address - Fax:
Practice Address - Street 1:725 COLEMAN BLVD
Practice Address - Street 2:APT 431
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6002
Practice Address - Country:US
Practice Address - Phone:864-567-6361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-20
Last Update Date:2015-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7783225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist