Healthcare Provider Details

I. General information

NPI: 1073614988
Provider Name (Legal Business Name): JULIE ANN RESTALL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 N HIGHWAY 95
ELGIN TX
78621-1008
US

IV. Provider business mailing address

PO BOX 705
ELGIN TX
78621-0705
US

V. Phone/Fax

Practice location:
  • Phone: 512-285-3363
  • Fax: 512-285-3364
Mailing address:
  • Phone: 512-285-3363
  • Fax: 512-285-3364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10044
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: