Provider Demographics
NPI:1386032787
Name:BRITTAIN BARTLEY, ERIN L (MS, ATC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:BRITTAIN BARTLEY
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8308 BRIARCLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2905
Mailing Address - Country:US
Mailing Address - Phone:916-381-7879
Mailing Address - Fax:
Practice Address - Street 1:8308 BRIARCLIFF WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2905
Practice Address - Country:US
Practice Address - Phone:916-381-7879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0698027192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer