Emmagail Grace Elam, PTA

NPI #1184499691 in Kahoka, Missouri

Provider Information

NPI Number: 1184499691
Entity Type: Individual
Name: Emmagail Grace Elam, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 15, 2023
Last Updated: Nov 15, 2023

Practice Location

Address: 120 S JOHNSON ST
City: Kahoka
State: Missouri
ZIP Code: 63445-1657
Phone: (660) 727-2722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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