Provider Demographics
NPI:1245969674
Name:SISSON, EMILY (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SISSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6600 STAGE RD STE 129
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3838
Mailing Address - Country:US
Mailing Address - Phone:901-371-0732
Mailing Address - Fax:901-371-0859
Practice Address - Street 1:6600 STAGE RD STE 129
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3838
Practice Address - Country:US
Practice Address - Phone:901-371-0732
Practice Address - Fax:901-371-0859
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14219225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist