Individual
BENJAMIN ERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT,MS,CSCS
Contact information
Practice address
1625 N 2ND ST, CLINTON, MO 64735-1193
(660) 890-7190
(660) 885-5640
Mailing address
1015 NE 301ST RD, LEETON, MO 64761-7123
(402) 540-6434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020019943
MO
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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