Provider Demographics
NPI:1396284782
Name:PATRICK, EMILY POSTON (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:POSTON
Last Name:PATRICK
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:DIANE
Other - Last Name:POSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8560 PRAIRIE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-6977
Mailing Address - Country:US
Mailing Address - Phone:843-610-1065
Mailing Address - Fax:
Practice Address - Street 1:900 COLLEGE ST
Practice Address - Street 2:UMHB BOX 8011
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513
Practice Address - Country:US
Practice Address - Phone:254-295-4961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT70272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer