Provider Demographics
NPI:1861664963
Name:VOLD, EMILY JOY (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JOY
Last Name:VOLD
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 HUDSON RD
Mailing Address - Street 2:HPC 008
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50614-0065
Mailing Address - Country:US
Mailing Address - Phone:319-415-9165
Mailing Address - Fax:
Practice Address - Street 1:2351 HUDSON RD
Practice Address - Street 2:HPC 008
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50614-0065
Practice Address - Country:US
Practice Address - Phone:319-415-9165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0006822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer