Provider Demographics
NPI:1063486389
Name:EMETERIO, ELIZABETH ANNE (MS, ATC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:EMETERIO
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:818 HELTON RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-3755
Mailing Address - Country:US
Mailing Address - Phone:865-980-7169
Mailing Address - Fax:865-980-7145
Practice Address - Street 1:220 ASSOCIATES BLVD
Practice Address - Street 2:OUTPATIENT REHAB
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-1943
Practice Address - Country:US
Practice Address - Phone:865-980-7140
Practice Address - Fax:865-980-7145
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000005942255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer