Provider Demographics
NPI:1508417254
Name:FRANKLIN, JOE (ATC, LAT, MS)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:ATC, LAT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 OLD EMMITSBURG RD
Mailing Address - Street 2:
Mailing Address - City:EMMITSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21727-7702
Mailing Address - Country:US
Mailing Address - Phone:515-961-0261
Mailing Address - Fax:
Practice Address - Street 1:16300 OLD EMMITSBURG RD
Practice Address - Street 2:
Practice Address - City:EMMITSBURG
Practice Address - State:MD
Practice Address - Zip Code:21727-7702
Practice Address - Country:US
Practice Address - Phone:515-961-0261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00012502255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty