Provider Demographics
NPI:1215296629
Name:RATERMAN, ERIN KATHLEEN (DPT)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:RATERMAN
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 1:28350 COUNTY ROAD 317
Mailing Address - Street 2:SUITE # 10
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-9228
Mailing Address - Country:US
Mailing Address - Phone:719-395-8711
Mailing Address - Fax:719-395-9062
Practice Address - Street 1:28350 COUNTY ROAD 317
Practice Address - Street 2:SUITE # 10
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9228
Practice Address - Country:US
Practice Address - Phone:719-395-8711
Practice Address - Fax:719-395-9062
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-10901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist