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NPI Code Detail

MEDICARE: JULIANA B AMENT P.T.

MEDICARE: JULIANA B AMENT P.T.
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
1225100000XPhysical Therapist633AK

Other Identifiers

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

General Provider Information

NPI Number : 1225016652
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANA B AMENT P.T.
Provider Business Mailing Address
First Line : 157 LEWIS ST
Second Line :
City : NORTH POLE
State : AK
Zip : 99705-7699
Country : US
Telephone Number : 907-488-4978
Fax Number : 907-488-4976
Provider Business Practice Location Address
First Line : 157 LEWIS ST
Second Line :
City : NORTH POLE
State : AK
Zip : 99705-7699
Country : US
Telephone Number : 907-488-4978
Fax Number : 907-488-4976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 10/18/2012

Similar Medicare Providers

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1447510524 — MR. JACK P FRY DPT
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1114366739 — KAYLA M OSBORNE DPT
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1083035604 — TIMOTHY STEVENSON DPT
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Directions to “ JULIANA B AMENT P.T.” Practice Location

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