Provider Demographics
NPI:1447901285
Name:RAY, ERIN (MS, AT, ATC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:MS, AT, ATC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MULKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, AT, ATC
Mailing Address - Street 1:29768 CITATION CIR APT 32102
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5896
Mailing Address - Country:US
Mailing Address - Phone:810-922-0746
Mailing Address - Fax:
Practice Address - Street 1:29768 CITATION CIR APT 32102
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5896
Practice Address - Country:US
Practice Address - Phone:810-922-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010027152255A2300X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer