Provider Demographics
NPI:1154214971
Name:JULIEN SPITALIER, HEATHER (MT, NMT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:JULIEN SPITALIER
Suffix:
Gender:F
Credentials:MT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13101 TWIN STAR LN
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-8751
Mailing Address - Country:US
Mailing Address - Phone:415-781-9279
Mailing Address - Fax:
Practice Address - Street 1:13101 TWIN STAR LN
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95949-8751
Practice Address - Country:US
Practice Address - Phone:415-781-9279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97014225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist