Individual
ERIN KATIE IDACAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, GCS
Contact information
Practice address
1004 PROGRESS DR STE 100, LANSING, KS 66043-6323
(913) 351-3838
(913) 351-3939
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03556
KS
225100000X
Physical Therapist
2014005585
MO
Other
Enumeration date
09/15/2006
Last updated
07/21/2022
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