Healthcare Provider Details

I. General information

NPI: 1932539954
Provider Name (Legal Business Name): JULIE KHUONG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23115 TELEGRAPH RD
BROWNSTOWN TOWNSHIP MI
48134-9027
US

IV. Provider business mailing address

23115 TELEGRAPH RD
BROWNSTOWN TOWNSHIP MI
48134-9027
US

V. Phone/Fax

Practice location:
  • Phone: 734-288-7008
  • Fax:
Mailing address:
  • Phone: 734-288-7008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501016158
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: