MEDICARE: JULIE MARIE QUADE 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	123403	IA

General Provider Information

NPI Number	:	1609728161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MARIE QUADE DPT

Provider Business Mailing Address
First Line	:	212 S WALNUT ST
Second Line	:
City	:	FAIRBANK
State	:	IA
Zip	:	50629-8621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1223 PRAIRIE VIEW RD
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-2260
Country	:	US
Telephone Number	:	319-268-0489
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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