Provider Demographics
NPI:1346468501
Name:BEAVERS, JULIE N (PT, DPT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:N
Last Name:BEAVERS
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 CAHABA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1614
Mailing Address - Country:US
Mailing Address - Phone:205-298-9101
Mailing Address - Fax:205-298-9103
Practice Address - Street 1:3234 CAHABA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243
Practice Address - Country:US
Practice Address - Phone:205-298-9101
Practice Address - Fax:205-298-9103
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL12010439OtherCAQH