MEDICARE: JULIE DRUCKER MT

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	225700000X	Massage Therapist	CMT131540	CA

General Provider Information

NPI Number	:	1194436691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE DRUCKER MT

Provider Business Mailing Address
First Line	:	PO BOX 1446
Second Line	:
City	:	UKIAH
State	:	CA
Zip	:	95482-1446
Country	:	US
Telephone Number	:	707-513-7397
Fax Number	:

Provider Business Practice Location Address
First Line	:	31421 AIRPORT RD
Second Line	:
City	:	FORT BRAGG
State	:	CA
Zip	:	95437-9504
Country	:	US
Telephone Number	:	707-513-7397
Fax Number	:

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

Provider Enumeration Date	:	12/06/2022
Last Update Date	:	12/06/2022

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Directions to “ JULIE DRUCKER MT” Practice Location

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