Provider Demographics
NPI:1649982216
Name:DARNELL, EMILY ANN STRATTON (LAT, ATC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN STRATTON
Last Name:DARNELL
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13425 SSG SIMS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79918-8062
Mailing Address - Country:US
Mailing Address - Phone:540-497-1824
Mailing Address - Fax:
Practice Address - Street 1:13425 SSG SIMS ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79918-8062
Practice Address - Country:US
Practice Address - Phone:540-497-1824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260019172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer