Provider Demographics
NPI:1023902244
Name:MCPHILLIPS, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MCPHILLIPS
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 1:5959 BURBANK DR UNIT 1824
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-4037
Mailing Address - Country:US
Mailing Address - Phone:714-388-5722
Mailing Address - Fax:
Practice Address - Street 1:5959 BURBANK DR UNIT 1824
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-4037
Practice Address - Country:US
Practice Address - Phone:714-388-5722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer