MEDICARE: JULIE M DELPH DPT

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	05009332A	IN

General Provider Information

NPI Number	:	1194995019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE M DELPH DPT

Provider Business Mailing Address
First Line	:	141 N EAST ST
Second Line	:
City	:	CROTHERSVILLE
State	:	IN
Zip	:	47229-9639
Country	:	US
Telephone Number	:	812-793-3752
Fax Number	:	812-793-3752

Provider Business Practice Location Address
First Line	:	141 N EAST ST
Second Line	:
City	:	CROTHERSVILLE
State	:	IN
Zip	:	47229-9639
Country	:	US
Telephone Number	:	812-793-3752
Fax Number	:	812-793-3752

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

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	05/25/2023

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