Provider Demographics
NPI:1871343954
Name:BROWN, ERIN RENEE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:RENEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 W BONANZA WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-8911
Mailing Address - Country:US
Mailing Address - Phone:480-735-1567
Mailing Address - Fax:
Practice Address - Street 1:736 S 900 E STE 106
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7002
Practice Address - Country:US
Practice Address - Phone:435-673-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist