Healthcare Provider Details

I. General information

NPI: 1548350630
Provider Name (Legal Business Name): JULIE D BARR MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE NIGG P.T.

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 YOUNGFIELD ST STE 110
GOLDEN CO
80401-3595
US

IV. Provider business mailing address

1901 YOUNGFIELD ST STE 110
GOLDEN CO
80401-3595
US

V. Phone/Fax

Practice location:
  • Phone: 720-446-9408
  • Fax:
Mailing address:
  • Phone: 720-446-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT27421
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT27421
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT27421
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT27421
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0012073
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: