Healthcare Provider Details

I. General information

NPI: 1144185448
Provider Name (Legal Business Name): JULIE MARIE DEWARD REFLEXOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30420 SE 355TH ST
ENUMCLAW WA
98022-9655
US

IV. Provider business mailing address

30420 SE 355TH ST
ENUMCLAW WA
98022-9655
US

V. Phone/Fax

Practice location:
  • Phone: 253-204-1874
  • Fax:
Mailing address:
  • Phone: 253-204-1874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberRF70026992
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: