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NPI Code Detail

MEDICARE: EMILY WILSON PT, DPT

MEDICARE: EMILY WILSON PT, 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
12251P0200XPediatric Physical Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1942975164
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WILSON PT, DPT
Provider Business Mailing Address
First Line : 370 GREEN HOLLOW DR
Second Line :
City : TEMPLE
State : TX
Zip : 76502-6126
Country : US
Telephone Number : 254-780-9658
Fax Number : 254-780-9663
Provider Business Practice Location Address
First Line : 370 GREEN HOLLOW DR
Second Line :
City : TEMPLE
State : TX
Zip : 76502-6126
Country : US
Telephone Number : 254-780-9658
Fax Number : 254-780-9663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 06/11/2026

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