MEDICARE: JULIE P SANDSTEDT MS, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1122927	TX

General Provider Information

NPI Number	:	1033394374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE P SANDSTEDT MS, PT

Provider Business Mailing Address
First Line	:	7401 W HIGHWAY 71
Second Line	:	SUITE 130
City	:	AUSTIN
State	:	TX
Zip	:	78735-8260
Country	:	US
Telephone Number	:	512-288-2700
Fax Number	:	512-288-2711

Provider Business Practice Location Address
First Line	:	7401 W HIGHWAY 71
Second Line	:	SUITE 130
City	:	AUSTIN
State	:	TX
Zip	:	78735-8260
Country	:	US
Telephone Number	:	512-288-2700
Fax Number	:	512-288-2711

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2008
Last Update Date	:	01/06/2008

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