Healthcare Provider Details

I. General information

NPI: 1649362971
Provider Name (Legal Business Name): JULIE KOUTSOULIAS MONTEMARANO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE KOUTSOOLIAS MONTEMARANO DC

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17406 ROYALTON RD STE C
STRONGSVILLE OH
44136-5144
US

IV. Provider business mailing address

203 E ROYALTON RD STE 108
BROADVIEW HEIGHTS OH
44147-4038
US

V. Phone/Fax

Practice location:
  • Phone: 440-663-1977
  • Fax: 440-732-0045
Mailing address:
  • Phone: 440-886-6500
  • Fax: 440-526-4119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3744
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: