MEDICARE: JULEE ANN MCMULLEN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11-05653	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194245050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULEE ANN MCMULLEN DPT

Provider Business Mailing Address
First Line	:	1923 N WEBB RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-3405
Country	:	US
Telephone Number	:	316-262-4886
Fax Number	:	316-858-3201

Provider Business Practice Location Address
First Line	:	1824 E JAMES ST
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-8634
Country	:	US
Telephone Number	:	316-978-9000
Fax Number	:	316-978-9001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	03/17/2026

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Directions to “ JULEE ANN MCMULLEN DPT” Practice Location

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