Organization
EMERELLI, PLLC
Active
Organization
EMERELLI, PLLC
Active
Other names
Restorative Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE DAVENPORT PT, DPT, COMT (PHYSICAL THERAPIST)
(979) 776-2225
Entity
Organization
Contact information
Practice address
2714 OSLER BLVD, BRYAN, TX 77802-2517
(979) 776-2225
(979) 776-7945
Mailing address
PO BOX 55, WELLBORN, TX 77881-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
10/22/2024
Last updated
10/29/2024
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