Provider Demographics
NPI:1194748244
Name:MARSHALL, ERIN KATHLEEN (ATC)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E MARSHALL ST
Mailing Address - Street 2:#702
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4427
Mailing Address - Country:US
Mailing Address - Phone:443-812-3726
Mailing Address - Fax:
Practice Address - Street 1:200 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4512
Practice Address - Country:US
Practice Address - Phone:610-436-8620
Practice Address - Fax:610-436-9493
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART 0038442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396713Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER