Provider Demographics
NPI:1982167490
Name:TRAMUTOLO, EMILY FLICKINGER (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FLICKINGER
Last Name:TRAMUTOLO
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LANE
Other - Last Name:FLICKINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1505 DAPHNE AVE
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4298
Mailing Address - Country:US
Mailing Address - Phone:251-625-2663
Mailing Address - Fax:251-625-3198
Practice Address - Street 1:1505 DAPHNE AVE
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4298
Practice Address - Country:US
Practice Address - Phone:251-625-2663
Practice Address - Fax:251-625-3198
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT014096225100000X
ALPTH9350225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist