Erickson, Stephanie Ann

Erickson, Stephanie Ann is an individual health care provider with primary practice located at 663 E Broadway Blvd , Jefferson City TN 37760-4906. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Erickson, Stephanie Ann can be contacted via phone (865) 606-0015.

Contact Information

Primary practice address
663 E Broadway Blvd Jefferson City TN 37760-4906
Phone: (865) 606-0015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11975 Tennessee

Profile Details

NPI number 1447768551
LBN Legal business name Erickson, Stephanie Ann
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Apr 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447768551 NPPES
Tennessee Other 11975 MASSAGE LICENSE

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