Provider Demographics
NPI:1992761597
Name:PARKER, EMMETT LORING (PT, ATC)
Entity type:Individual
Prefix:MR
First Name:EMMETT
Middle Name:LORING
Last Name:PARKER
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1808 GADSDEN HWY
Mailing Address - Street 2:STE 138
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3206
Mailing Address - Country:US
Mailing Address - Phone:205-655-8866
Mailing Address - Fax:205-655-8868
Practice Address - Street 1:1808 GADSDEN HWY
Practice Address - Street 2:SUITE 136
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3139
Practice Address - Country:US
Practice Address - Phone:205-655-8866
Practice Address - Fax:205-655-8868
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP11324Medicare UPIN
AL051518699Medicare ID - Type Unspecified