Provider Demographics
NPI:1770851438
Name:LEMERY, JOSEPH V, A JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:V, A
Last Name:LEMERY
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 BLAKE BOTTOM RD NW
Mailing Address - Street 2:#23
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-6010
Mailing Address - Country:US
Mailing Address - Phone:256-541-5493
Mailing Address - Fax:
Practice Address - Street 1:2031 BLAKE BOTTOM RD NW
Practice Address - Street 2:#23
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-6010
Practice Address - Country:US
Practice Address - Phone:256-541-5493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8722255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer