Provider Demographics
NPI:1881711562
Name:MAHLER, ERIK BRIAN (ATC)
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:BRIAN
Last Name:MAHLER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3019 126TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5497
Mailing Address - Country:US
Mailing Address - Phone:425-431-1080
Mailing Address - Fax:
Practice Address - Street 1:21801 44TH AVE W
Practice Address - Street 2:MOUNTLAKE TERRACE HIGH SCHOOL
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:425-431-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer