Provider Demographics
NPI:1558031617
Name:HORSTMAN, EMILY PAIGE (ATC, LAT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:PAIGE
Last Name:HORSTMAN
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SAMPSON LN
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-8710
Mailing Address - Country:US
Mailing Address - Phone:724-841-8887
Mailing Address - Fax:
Practice Address - Street 1:232 WISE RD
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-9221
Practice Address - Country:US
Practice Address - Phone:724-453-1490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer