Provider Demographics
NPI:1396166591
Name:MCKAY, ERIN LEAH BOYLE (PT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LEAH BOYLE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:LEAH
Other - Last Name:MCKAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:39 SUGAR HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:GILMANTON
Mailing Address - State:NH
Mailing Address - Zip Code:03237-5251
Mailing Address - Country:US
Mailing Address - Phone:603-267-8405
Mailing Address - Fax:
Practice Address - Street 1:240 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4411
Practice Address - Country:US
Practice Address - Phone:603-569-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2671225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist