Provider Demographics
NPI:1265837447
Name:SOLON, EMMA BABISTA (PT)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:BABISTA
Last Name:SOLON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-4276
Mailing Address - Country:US
Mailing Address - Phone:423-477-0544
Mailing Address - Fax:
Practice Address - Street 1:1012 COOLIDGE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743-4610
Practice Address - Country:US
Practice Address - Phone:423-783-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000003304225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist