Provider Demographics
NPI:1962842146
Name:SIMON, ERIN (MED, LMT, LLCC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:SIMON
Suffix:
Gender:F
Credentials:MED, LMT, LLCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6343 EBDY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-3035
Mailing Address - Country:US
Mailing Address - Phone:412-726-6729
Mailing Address - Fax:
Practice Address - Street 1:6343 EBDY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-3035
Practice Address - Country:US
Practice Address - Phone:412-726-6729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG004482225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist