Provider Demographics
NPI:1265698211
Name:AINOOSON, ERIN KATHLEEN (PT)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:AINOOSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:K
Other - Last Name:MCELROY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13700 SAGE GROUSE DR UNIT 502
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-0008
Mailing Address - Country:US
Mailing Address - Phone:126-805-6155
Mailing Address - Fax:
Practice Address - Street 1:6207 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-1060
Practice Address - Country:US
Practice Address - Phone:737-704-4234
Practice Address - Fax:512-334-4465
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169879225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist