Provider Demographics
NPI:1467430793
Name:KREGER, JULIE L (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:KREGER
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 129TH ST S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-5044
Mailing Address - Country:US
Mailing Address - Phone:253-298-3838
Mailing Address - Fax:253-298-3017
Practice Address - Street 1:315 129TH ST S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-5044
Practice Address - Country:US
Practice Address - Phone:253-298-3838
Practice Address - Fax:253-298-3017
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010004225100000X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer