Provider Demographics
NPI:1982142121
Name:SHAFFER, ERIN JAMES
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:JAMES
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MARSH BROOK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-6523
Mailing Address - Country:US
Mailing Address - Phone:603-749-6686
Mailing Address - Fax:603-749-9270
Practice Address - Street 1:15 US-302
Practice Address - Street 2:SUITE 2
Practice Address - City:GLEN
Practice Address - State:NH
Practice Address - Zip Code:03838
Practice Address - Country:US
Practice Address - Phone:603-383-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6020225100000X
PAPT0258402251X0800X
NH4352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic