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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