Provider Demographics
NPI:1588090518
Name:WITTMAN, EMILY SEAT (DPT, CPMT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SEAT
Last Name:WITTMAN
Suffix:
Gender:F
Credentials:DPT, CPMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1027
Mailing Address - Country:US
Mailing Address - Phone:423-318-7800
Mailing Address - Fax:423-317-3332
Practice Address - Street 1:5250 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-1027
Practice Address - Country:US
Practice Address - Phone:423-318-7800
Practice Address - Fax:423-317-3332
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9848OtherTENNESSEE LICENSURE