Healthcare Provider Details

I. General information

NPI: 1649026295
Provider Name (Legal Business Name): JULIA DOOLITTLE MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 HARVARD DR
PITTSBURGH PA
15235-3419
US

IV. Provider business mailing address

136 HARVARD DR
PITTSBURGH PA
15235-3419
US

V. Phone/Fax

Practice location:
  • Phone: 240-772-0328
  • Fax:
Mailing address:
  • Phone: 240-772-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT008819
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: