Provider Demographics
NPI:1679123731
Name:EVERTON, EMILY E (DPT)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:E
Last Name:EVERTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2712
Mailing Address - Country:US
Mailing Address - Phone:508-269-4091
Mailing Address - Fax:
Practice Address - Street 1:58 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2712
Practice Address - Country:US
Practice Address - Phone:508-269-4091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24264225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist