Individual
ERICKA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-6290
Mailing address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-6290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2178-19
WI
Other
Enumeration date
08/16/2014
Last updated
04/02/2026
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