Provider Demographics
NPI:1295124659
Name:LINK, EMILY (MSATC, LAT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LINK
Suffix:
Gender:F
Credentials:MSATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WARTBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-0903
Mailing Address - Country:US
Mailing Address - Phone:319-352-8741
Mailing Address - Fax:319-352-8525
Practice Address - Street 1:100 WARTBURG BLVD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-0903
Practice Address - Country:US
Practice Address - Phone:319-352-8741
Practice Address - Fax:319-352-8525
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0009202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer