Healthcare Provider Details

I. General information

NPI: 1558955989
Provider Name (Legal Business Name): EMMA MARLENE REUSCHER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4012 HICKORY BLVD
GRANITE FALLS NC
28630-8372
US

IV. Provider business mailing address

123 FOOTHILLS DR
LENOIR NC
28645-5902
US

V. Phone/Fax

Practice location:
  • Phone: 828-212-0256
  • Fax:
Mailing address:
  • Phone: 828-310-3435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1382496
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP20181
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: