Provider Demographics
NPI:1336022359
Name:FORD, EMILY MARIE (PTAP161691487)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:FORD
Suffix:
Gender:F
Credentials:PTAP161691487
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 VUEMONT PL NE APT E203
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4523
Mailing Address - Country:US
Mailing Address - Phone:510-940-3025
Mailing Address - Fax:
Practice Address - Street 1:300 VUEMONT PL NE APT E203
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4523
Practice Address - Country:US
Practice Address - Phone:510-940-3025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPTA.P1.61691487225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant