Provider Demographics
NPI:1568794618
Name:BARTEL, EMILY ANN (LMT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:BARTEL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 WILLAMETTE ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1849 WILLAMETTE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4015
Practice Address - Country:US
Practice Address - Phone:541-954-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15893225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist