NPI Code Details Logo

NPI 1306647508

NPI 1306647508 : JULIE TUFTE LMT, CCHT, RM/T : HOUGHTON, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306647508
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JULIE TUFTE LMT, CCHT, RM/T
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2025
-----------------------------------------------------
    Last Update Date     |    03/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    404 E SHARON AVE 
-----------------------------------------------------
    City                 |    HOUGHTON
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49931-1612
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-215-2500
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    23461 WOODSIDE LN 
-----------------------------------------------------
    City                 |    HANCOCK
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49930-9336
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-215-2500
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225700000X
-----------------------------------------------------
    Taxonomy Name        |    Massage Therapist
-----------------------------------------------------
    License Number       |    7501015044
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.