Search › Missouri › 225100000X
Benjamin Ericksen, PT,DPT,MS,CSCS
NPI 1407567373 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1625 N 2nd St
Clinton, MO 64735 - Phone
- (660) 890-7190
- Fax
- (660) 885-5640
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-12
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 Missouri