MEDICARE: JULIE M DEVLIN BSPT

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	1342	NV

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	:	1295772044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE M DEVLIN BSPT

Provider Business Mailing Address
First Line	:	496 CALENDULA CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5613
Country	:	US
Telephone Number	:	702-860-5348
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 E WINDMILL LN
Second Line	:	SUITE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1902
Country	:	US
Telephone Number	:	702-202-1280
Fax Number	:	702-361-8596

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/18/2015

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