Provider Demographics
NPI:1689827305
Name:CULVERHOUSE, ERIN MICHELE (PT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELE
Last Name:CULVERHOUSE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELE
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:254 PAMPAS DR
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-4072
Mailing Address - Country:US
Mailing Address - Phone:317-443-6674
Mailing Address - Fax:
Practice Address - Street 1:815 E 63RD ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4420
Practice Address - Country:US
Practice Address - Phone:912-352-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009219225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist