Provider Demographics
NPI:1972101483
Name:MCKANE, ERIN ELIZABETH (LMT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:MCKANE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SYLVAN WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03431-4480
Mailing Address - Country:US
Mailing Address - Phone:603-513-8145
Mailing Address - Fax:
Practice Address - Street 1:815 COURT ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1769
Practice Address - Country:US
Practice Address - Phone:603-558-5102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7657225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist