Benjamin Ericksen, PT,DPT,MS,CSCS

Physical Therapist · Clinton, MO

Individual Active NPI

NPI number 1407567373

Practice location

1625 N 2ND St
Clinton, MO 64735-1193
Phone
(660) 890-7190
Fax
(660) 885-5640

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NPI record

NPI
1407567373
Entity type
Individual (Type 1)
Enumeration date
December 12, 2022
Last updated
December 12, 2022
Certified
December 12, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 2020019943 MO

Mailing address

1015 NE 301st Rd
Leeton, MO 64761-7123
Phone
(402) 540-6434

About Benjamin Ericksen

Benjamin Ericksen, PT,DPT,MS,CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1625 N 2ND St, Clinton, MO 64735-1193. The NPI number 1407567373 was assigned on December 12, 2022 and the record was last updated on December 12, 2022.

Benjamin Ericksen lists a license in the registry: #2020019943 (MO) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Ericksen, PT,DPT,MS,CSCS?

The NPI number is 1407567373.

What is the phone number of Benjamin Ericksen?

The phone number listed for the practice location is (660) 890-7190.

Where is Benjamin Ericksen located?

1625 N 2ND St, Clinton, MO 64735-1193.

What is the taxonomy code for Benjamin Ericksen?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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