Provider Demographics
NPI:1336418334
Name:LINDA EMERICK PT, LLC
Entity Type:Organization
Organization Name:LINDA EMERICK PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERICK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-273-9078
Mailing Address - Street 1:70 SEAN DR
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2754
Mailing Address - Country:US
Mailing Address - Phone:828-273-9078
Mailing Address - Fax:855-697-2490
Practice Address - Street 1:25 REED ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2769
Practice Address - Country:US
Practice Address - Phone:828-273-9078
Practice Address - Fax:855-697-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4429225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty