Healthcare Provider Details

I. General information

NPI: 1588578074
Provider Name (Legal Business Name): EMILY LINTS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E PIONEER AVE STE 218
HOMER AK
99603-7694
US

IV. Provider business mailing address

41688 REDOUBT CIR
HOMER AK
99603-9215
US

V. Phone/Fax

Practice location:
  • Phone: 907-235-7473
  • Fax:
Mailing address:
  • Phone: 907-299-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number255338
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: