Provider Demographics
NPI:1275274359
Name:HARDERS, EMILY ROSE (PTA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:HARDERS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56431 881 RD
Mailing Address - Street 2:
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-4020
Mailing Address - Country:US
Mailing Address - Phone:308-380-1207
Mailing Address - Fax:
Practice Address - Street 1:309 N MADISON ST
Practice Address - Street 2:
Practice Address - City:COLERIDGE
Practice Address - State:NE
Practice Address - Zip Code:68727-2602
Practice Address - Country:US
Practice Address - Phone:402-283-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1950225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant