Provider Demographics
NPI:1063251718
Name:HOUSEKNECHT, EMILY GRACE (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:GRACE
Last Name:HOUSEKNECHT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-5169
Mailing Address - Country:US
Mailing Address - Phone:724-840-4664
Mailing Address - Fax:
Practice Address - Street 1:170 RED FOX DR
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8338
Practice Address - Country:US
Practice Address - Phone:814-695-8425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DAPT003440225100000X
PAPT022330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist