Healthcare Provider Details

I. General information

NPI: 1538634860
Provider Name (Legal Business Name): JULIENNE ISABELLE SAUER ATC, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2018
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6221 METROPOLITAN ST
CARLSBAD CA
92009-3096
US

IV. Provider business mailing address

6530 BENNINGTON WAY
SAN RAMON CA
94582-3902
US

V. Phone/Fax

Practice location:
  • Phone: 176-070-7508
  • Fax:
Mailing address:
  • Phone: 925-719-7449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2000041069
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: