MEDICARE: EMILY CAROLINE KIRKSEY 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1457986143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CAROLINE KIRKSEY DPT

Provider Business Mailing Address
First Line	:	618 E TENNESSEE ST
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-5806
Country	:	US
Telephone Number	:	256-443-3033
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 E TENNESSEE ST
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-5806
Country	:	US
Telephone Number	:	256-441-7795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	04/15/2026

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