MEDICARE: EMILY CLARE MARKS PT, 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	11266	LA

General Provider Information

NPI Number	:	1790404655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CLARE MARKS PT, DPT

Provider Business Mailing Address
First Line	:	8080 BLUEBONNET BLVD STE 1000
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-7827
Country	:	US
Telephone Number	:	225-408-6633
Fax Number	:	225-208-2656

Provider Business Practice Location Address
First Line	:	6632 JONES CREEK RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-3054
Country	:	US
Telephone Number	:	225-214-5330
Fax Number	:	225-214-5333

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

Provider Enumeration Date	:	08/24/2022
Last Update Date	:	06/01/2026

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