Provider Demographics
NPI:1376096016
Name:ARNOLD, EMILY (PT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ARNOLD
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 1:1425 E MAIN ST
Mailing Address - Street 2:STE 600
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-5330
Mailing Address - Country:US
Mailing Address - Phone:830-391-8009
Mailing Address - Fax:830-990-9088
Practice Address - Street 1:12727 KIMBERLEY LN STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4060
Practice Address - Country:US
Practice Address - Phone:830-391-8009
Practice Address - Fax:830-990-9088
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1279356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist