Provider Demographics
NPI:1366478778
Name:CANFIELD, EMILY KATE (DC, ATC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:KATE
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:DC, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 W GRAY ST STE 207
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3032
Mailing Address - Country:US
Mailing Address - Phone:607-973-0766
Mailing Address - Fax:
Practice Address - Street 1:147 W GRAY ST STE 207
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-3032
Practice Address - Country:US
Practice Address - Phone:607-973-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2015-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5414111N00000X
NC2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer