Healthcare Provider Details

I. General information

NPI: 1881355113
Provider Name (Legal Business Name): JULIA MARIE HOOVER MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA SEMMLER

II. Dates (important events)

Enumeration Date: 01/08/2022
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 EXECUTIVE DR
SAN DIEGO CA
92121-3018
US

IV. Provider business mailing address

FILE 57326
LOS ANGELES CA
90074-7326
US

V. Phone/Fax

Practice location:
  • Phone: 800-926-8273
  • Fax:
Mailing address:
  • Phone: 800-926-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2468-39
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2000036923
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: