Healthcare Provider Details

I. General information

NPI: 1689085425
Provider Name (Legal Business Name): JULIE CAMPBELL ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 E ASBURY AVE # 1312
DENVER CO
80210-4304
US

IV. Provider business mailing address

2201 E ASBURY AVE # 1312
DENVER CO
80210-4304
US

V. Phone/Fax

Practice location:
  • Phone: 303-871-3918
  • Fax:
Mailing address:
  • Phone: 303-871-3918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: