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NPI Code Detail

MEDICARE: EMMA LEIGH MCELROY

MEDICARE:   EMMA LEIGH MCELROY
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
1226300000XKinesiotherapistFL

General Provider Information

NPI Number : 1528900768
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LEIGH MCELROY
Provider Business Mailing Address
First Line : 755 SW DEXTER CIR APT 201
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-0787
Country : US
Telephone Number : 251-680-8068
Fax Number :
Provider Business Practice Location Address
First Line : 619 S MARION AVE
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-5808
Country : US
Telephone Number : 386-755-3016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ EMMA LEIGH MCELROY ” Practice Location

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