Provider Demographics
NPI:1346548559
Name:CHAVES, JULIET LOIREE (PT)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:LOIREE
Last Name:CHAVES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:LOIREE
Other - Last Name:CHAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6600 BRUCEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4671
Mailing Address - Country:US
Mailing Address - Phone:916-688-2000
Mailing Address - Fax:877-738-4262
Practice Address - Street 1:6600 BRUCEVILLE RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4671
Practice Address - Country:US
Practice Address - Phone:916-688-2000
Practice Address - Fax:877-738-4262
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist