Search › Illinois › Physical Therapist
Edward Ericksen
NPI 1043610199 · on the registry since 2014
Practice
- Address
- 1111 Trinity Ln Ste 111
Bloomington, IL 61704 - Phone
- (309) 663-6461
- Organisation at this address
- Carle West Physician Group Inc
Twin Cities Medical Equipment Llc
Bloomington Medical Distribution LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 2901 W Kinnickinnic River Pkwy Ste 500, Milwaukee, WI
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
Physical Therapist - Licence states on file
- OH, WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois