Provider Demographics
NPI:1215635271
Name:RICHIE, EMILY KATE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATE
Last Name:RICHIE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:KATE
Other - Last Name:SORRELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1979 DIORITE LN
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1519
Mailing Address - Country:US
Mailing Address - Phone:254-495-1455
Mailing Address - Fax:
Practice Address - Street 1:1979 DIORITE LN
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-1519
Practice Address - Country:US
Practice Address - Phone:254-495-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1322222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist