Provider Demographics
NPI:1063672517
Name:RHODES, JULIE E (LAC, OTR)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:RHODES
Suffix:
Gender:F
Credentials:LAC, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4629
Mailing Address - Country:US
Mailing Address - Phone:985-868-1540
Mailing Address - Fax:985-876-0759
Practice Address - Street 1:1001 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4629
Practice Address - Country:US
Practice Address - Phone:985-868-1540
Practice Address - Fax:985-876-0759
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00826171100000X
TX116214225X00000X
LA324630225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171100000XOther Service ProvidersAcupuncturist