Provider Demographics
NPI:1447987870
Name:TULL, EMYLEE (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:EMYLEE
Middle Name:
Last Name:TULL
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 JOHNS RD NW APT 1203
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-3050
Mailing Address - Country:US
Mailing Address - Phone:205-535-6626
Mailing Address - Fax:
Practice Address - Street 1:8415 WANN DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9534
Practice Address - Country:US
Practice Address - Phone:256-704-1210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH10959225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist