Healthcare Provider Details

I. General information

NPI: 1285869461
Provider Name (Legal Business Name): TRACEY A EMREY, MSPT DBA FUSION PILATES STUDIO & PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 05/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 NATIONAL RD SUITE 300
EXTON PA
19341-2646
US

IV. Provider business mailing address

304 NATIONAL RD SUITE 300
EXTON PA
19341-2646
US

V. Phone/Fax

Practice location:
  • Phone: 610-363-8180
  • Fax: 610-363-8190
Mailing address:
  • Phone: 610-363-8180
  • Fax: 610-363-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT007916L
License Number StatePA

VIII. Authorized Official

Name: MS. TRACEY A EMREY
Title or Position: SOLE PROPIETOR
Credential: MS PT
Phone: 610-363-8180