MEDICARE: MRS. JULIE DENDY PT

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	3207	NV

General Provider Information

NPI Number	:	1457615767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE DENDY PT

Provider Business Mailing Address
First Line	:	10605 TURQUOISE VALLEY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4109
Country	:	US
Telephone Number	:	541-331-3518
Fax Number	:

Provider Business Practice Location Address
First Line	:	10605 TURQUOISE VALLEY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4109
Country	:	US
Telephone Number	:	541-331-3518
Fax Number	:

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

Provider Enumeration Date	:	07/02/2012
Last Update Date	:	01/27/2021

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