Provider Demographics
NPI:1467133579
Name:HUX, EMMA ELAINE (LPATA)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:ELAINE
Last Name:HUX
Suffix:
Gender:F
Credentials:LPATA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 BALMER FENWICK RD
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-8802
Mailing Address - Country:US
Mailing Address - Phone:574-360-2320
Mailing Address - Fax:
Practice Address - Street 1:1025 S 2ND ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2823
Practice Address - Country:US
Practice Address - Phone:502-636-0771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY286805221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist