Provider Demographics
NPI:1366870552
Name:GRASLIE, ERIKA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GRASLIE
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 1:6904 W 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-3541
Mailing Address - Country:US
Mailing Address - Phone:605-645-1578
Mailing Address - Fax:
Practice Address - Street 1:242 TOPAZ CT
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5557
Practice Address - Country:US
Practice Address - Phone:970-460-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2019-08-15
Deactivation Date:2018-12-03
Deactivation Code:
Reactivation Date:2019-08-15
Provider Licenses
StateLicense IDTaxonomies
CO0012295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist