Provider Demographics
NPI:1659852937
Name:HIGHTOWER, EMMA LEA
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:LEA
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:TX
Mailing Address - Zip Code:75571-5584
Mailing Address - Country:US
Mailing Address - Phone:903-575-8674
Mailing Address - Fax:
Practice Address - Street 1:501 YATES ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:TX
Practice Address - Zip Code:75457-3233
Practice Address - Country:US
Practice Address - Phone:903-537-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2087687225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant