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NPI Code Detail

MEDICARE: ELIZABETH EMBURY DPT

MEDICARE: ELIZABETH EMBURY 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
1225100000XPhysical Therapist13486269-2401UT

General Provider Information

NPI Number : 1528549615
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH EMBURY DPT
Provider Business Mailing Address
First Line : PO BOX 66
Second Line :
City : HOOPER
State : UT
Zip : 84315-0066
Country : US
Telephone Number : 801-689-0200
Fax Number : 801-689-0201
Provider Business Practice Location Address
First Line : 3476 W 4600 S
Second Line :
City : WEST HAVEN
State : UT
Zip : 84401-9203
Country : US
Telephone Number : 801-689-0200
Fax Number : 801-689-0201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 01/28/2025

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Directions to “ ELIZABETH EMBURY DPT” Practice Location

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