Provider Demographics
NPI:1134522352
Name:WATLEY, EMILY (CMT)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:WATLEY
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:STROLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMT
Mailing Address - Street 1:75 MONROE LN
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2248
Mailing Address - Country:US
Mailing Address - Phone:540-290-5771
Mailing Address - Fax:
Practice Address - Street 1:75 MONROE LN
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2248
Practice Address - Country:US
Practice Address - Phone:540-290-5771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019004863208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0019004863OtherVIRGINIA BOARD OF NURSING LICENSE NO.