Provider Demographics
NPI:1376017285
Name:FERRIER, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:FERRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15676 FISH POINT RD SE
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-2007
Mailing Address - Country:US
Mailing Address - Phone:952-688-7221
Mailing Address - Fax:
Practice Address - Street 1:730 MAYWOOD AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7018
Practice Address - Country:US
Practice Address - Phone:507-389-2321
Practice Address - Fax:507-389-5974
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer