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NPI 1376123976

NPI 1376123976 : JULIA MICHELLE WHITE PT, DPT, MS : GREELEY, CO

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General NPI Number Information
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    NPI Number           |    1376123976
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA MICHELLE WHITE PT, DPT, MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2021
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    Last Update Date     |    12/31/2025
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Provider Practice Location Address
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    Address Line         |    4617 W 20TH ST UNIT A 
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    City                 |    GREELEY
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    State                |    CO
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    Zip                  |    80634-3207
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    Country              |    US
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    Telephone            |    970-352-9022
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4617 W 20TH ST UNIT A 
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    City                 |    GREELEY
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    State                |    CO
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    Zip                  |    80634-3207
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    40QA01996900
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    28350
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP035459T
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT-2025-0194
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    License Number State |    NM
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