Provider Demographics
NPI:1740142371
Name:HOMESTEAD, ERIK
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:HOMESTEAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 WESTRIDGE AVE W APT C203
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98466-8242
Mailing Address - Country:US
Mailing Address - Phone:253-267-3303
Mailing Address - Fax:
Practice Address - Street 1:2602 WESTRIDGE AVE W APT C203
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98466-8242
Practice Address - Country:US
Practice Address - Phone:253-267-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach