Provider Demographics
NPI:1629269840
Name:SUTINIS, EMILY ELISE (PT)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ELISE
Last Name:SUTINIS
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:VANDERBILT MEDICAL CENTER/REHABILITATION SERVICES
Mailing Address - Street 2:1004 OXFORD HOUSE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-4675
Mailing Address - Country:US
Mailing Address - Phone:615-322-0100
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT MEDICAL CENTER/REHABILITATION SERVICES
Practice Address - Street 2:1004 OXFORD HOUSE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-4675
Practice Address - Country:US
Practice Address - Phone:615-322-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist