Provider Demographics
NPI:1386179372
Name:MAGGI, EMILY DIANE (ATC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:DIANE
Last Name:MAGGI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1884 BELLWOOD PL
Mailing Address - Street 2:UNIT 5
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-6025
Mailing Address - Country:US
Mailing Address - Phone:973-459-2348
Mailing Address - Fax:
Practice Address - Street 1:AUBURN UNIVERSITY
Practice Address - Street 2:392 S DONAHUE DR
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-0001
Practice Address - Country:US
Practice Address - Phone:973-459-2348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer