Healthcare Provider Details

I. General information

NPI: 1982167490
Provider Name (Legal Business Name): EMILY FLICKINGER TRAMUTOLO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY LANE FLICKINGER

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 MAIN AVE NE STE C
CULLMAN AL
35055-2417
US

IV. Provider business mailing address

802 MAIN AVE NE STE C
CULLMAN AL
35055-2417
US

V. Phone/Fax

Practice location:
  • Phone: 256-727-5286
  • Fax:
Mailing address:
  • Phone: 256-727-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT014096
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH9350
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: