Provider Demographics
NPI:1285869461
Name:TRACEY A EMREY, MSPT DBA FUSION PILATES STUDIO & PHYSICAL THERAPY
Entity type:Organization
Organization Name:TRACEY A EMREY, MSPT DBA FUSION PILATES STUDIO & PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:EMREY
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT
Authorized Official - Phone:610-363-8180
Mailing Address - Street 1:304 NATIONAL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2646
Mailing Address - Country:US
Mailing Address - Phone:610-363-8180
Mailing Address - Fax:610-363-8190
Practice Address - Street 1:304 NATIONAL RD
Practice Address - Street 2:SUITE 300
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2646
Practice Address - Country:US
Practice Address - Phone:610-363-8180
Practice Address - Fax:610-363-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007916L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1598978173OtherINDIVIDUAL NPI FOR TRACEY A EMREY, MSPT