Provider Demographics
NPI:1508147422
Name:LANGLER, EMILY C (PT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:LANGLER
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 1:6941 W ORCHARD ST
Mailing Address - Street 2:APT 206
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4856
Mailing Address - Country:US
Mailing Address - Phone:262-389-1085
Mailing Address - Fax:
Practice Address - Street 1:2626 N 76TH STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53188
Practice Address - Country:US
Practice Address - Phone:414-774-7794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11636-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist