Provider Demographics
NPI:1598978173
Name:EMREY, TRACEY A (MS PT)
Entity Type:Individual
Prefix:MS
First Name:TRACEY
Middle Name:A
Last Name:EMREY
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 NATIONAL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2646
Mailing Address - Country:US
Mailing Address - Phone:610-363-8180
Mailing Address - Fax:610-363-8190
Practice Address - Street 1:304 NATIONAL RD
Practice Address - Street 2:SUITE 300
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2646
Practice Address - Country:US
Practice Address - Phone:610-363-8180
Practice Address - Fax:610-363-8190
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007916L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist