Provider Demographics
NPI:1154559086
Name:SOHOLT, ERIN CHAPMAN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:CHAPMAN
Last Name:SOHOLT
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 NANCES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:TN
Mailing Address - Zip Code:37820-3560
Mailing Address - Country:US
Mailing Address - Phone:615-509-2297
Mailing Address - Fax:
Practice Address - Street 1:6111 W ANDREW JOHNSON HWY STE 5
Practice Address - Street 2:
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-8585
Practice Address - Country:US
Practice Address - Phone:423-586-9495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
TN4078225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN225X00000XMedicaid