Provider Demographics
NPI:1730784513
Name:DURKIN, EMMA JOHANA (ATC, CMT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:JOHANA
Last Name:DURKIN
Suffix:
Gender:F
Credentials:ATC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4838 MUIRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4237
Mailing Address - Country:US
Mailing Address - Phone:925-786-5423
Mailing Address - Fax:
Practice Address - Street 1:4838 MUIRWOOD DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4237
Practice Address - Country:US
Practice Address - Phone:925-786-5423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist