Provider Demographics
NPI:1285873968
Name:FRIEND, ERIN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:GOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:1241 PT MALLARD PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6521
Practice Address - Country:US
Practice Address - Phone:256-350-9750
Practice Address - Fax:256-350-9751
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205740225100000X
ALPTH6612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL103I652718Medicare PIN