Provider Demographics
NPI:1952985038
Name:CARR, EMILY MEGAN
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MEGAN
Last Name:CARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3782 SWAN RIDGE CIR S
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-4665
Mailing Address - Country:US
Mailing Address - Phone:161-551-7878
Mailing Address - Fax:
Practice Address - Street 1:3782 SWAN RIDGE CIR S
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-4665
Practice Address - Country:US
Practice Address - Phone:161-551-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist