MEDICARE: EMILY MCKAY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL.0015901	CO
2	225100000X	Physical Therapist	297252	CA

General Provider Information

NPI Number	:	1104307537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MCKAY DPT

Provider Business Mailing Address
First Line	:	431 COLLEGE ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3908
Country	:	US
Telephone Number	:	530-434-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 COLLEGE ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3908
Country	:	US
Telephone Number	:	530-434-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	06/10/2024

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Directions to “ EMILY MCKAY DPT” Practice Location

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