Provider Demographics
NPI:1740680743
Name:RISNER, EMMA FRANCIS (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:FRANCIS
Last Name:RISNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:FRANCIS
Other - Last Name:ROBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485
Mailing Address - Country:US
Mailing Address - Phone:931-722-2778
Mailing Address - Fax:
Practice Address - Street 1:514 S HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:TN
Practice Address - Zip Code:38485-2615
Practice Address - Country:US
Practice Address - Phone:931-722-2778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3876225X00000X
TN5080225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist