Healthcare Provider Details

I. General information

NPI: 1033394374
Provider Name (Legal Business Name): JULIE P SANDSTEDT MS, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE S FOLEY MS, PT

II. Dates (important events)

Enumeration Date: 01/06/2008
Last Update Date: 01/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 W HIGHWAY 71 SUITE 130
AUSTIN TX
78735-8260
US

IV. Provider business mailing address

7401 W HIGHWAY 71 SUITE 130
AUSTIN TX
78735-8260
US

V. Phone/Fax

Practice location:
  • Phone: 512-288-2700
  • Fax: 512-288-2711
Mailing address:
  • Phone: 512-288-2700
  • Fax: 512-288-2711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1122927
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: