Provider Demographics
NPI:1982167490
Name:TRAMUTOLO, EMILY FLICKINGER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:FLICKINGER
Last Name:TRAMUTOLO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LANE
Other - Last Name:FLICKINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:6361 TALOKAS LN STE C170
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5648
Practice Address - Country:US
Practice Address - Phone:706-569-6250
Practice Address - Fax:706-569-6335
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9350225100000X
GAPT014096225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist