Provider Demographics
NPI:1194909473
Name:EMERSON, DAWN MARIE (ATC)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:EMERSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1301 SUNNYSIDE AVE
Mailing Address - Street 2:ROBINSON ROOM 161
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66045-7601
Mailing Address - Country:US
Mailing Address - Phone:785-864-0709
Mailing Address - Fax:785-864-3343
Practice Address - Street 1:1301 SUNNYSIDE AVE
Practice Address - Street 2:ROBINSON ROOM 161
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66045-7601
Practice Address - Country:US
Practice Address - Phone:785-864-0709
Practice Address - Fax:785-864-3343
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-22
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer