Healthcare Provider Details

I. General information

NPI: 1851350938
Provider Name (Legal Business Name): JULIE ANN SCHWERMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PIERCE ST
TWIN FALLS ID
83301-4813
US

IV. Provider business mailing address

320 PIERCE ST
TWIN FALLS ID
83301-4813
US

V. Phone/Fax

Practice location:
  • Phone: 208-320-3746
  • Fax: 208-736-0890
Mailing address:
  • Phone: 208-320-3746
  • Fax: 208-736-0890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT082
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: