Provider Demographics
NPI:1841535473
Name:BARTEK, EMERY E JR (PTA)
Entity type:Individual
Prefix:
First Name:EMERY
Middle Name:E
Last Name:BARTEK
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 COUNTY ROAD 4236
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-7676
Mailing Address - Country:US
Mailing Address - Phone:352-250-0099
Mailing Address - Fax:
Practice Address - Street 1:50 COUNTY ROAD 4236
Practice Address - Street 2:
Practice Address - City:HALEYVILLE
Practice Address - State:AL
Practice Address - Zip Code:35565-7676
Practice Address - Country:US
Practice Address - Phone:352-250-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA5380225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant