Provider Demographics
NPI:1477506616
Name:HUEBNER, JULIE HEATHER (PT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:HEATHER
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S WADSWORTH BLVD UNIT G
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3134
Mailing Address - Country:US
Mailing Address - Phone:303-274-7310
Mailing Address - Fax:720-497-6705
Practice Address - Street 1:437 S WADSWORTH BLVD UNIT G
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226
Practice Address - Country:US
Practice Address - Phone:303-274-7310
Practice Address - Fax:720-497-6705
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009834225100000X, 2251X0800X
CO8355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8430910Medicaid
WA199248OtherLABOR & INDUSTRIES
8918HUOtherREGENCE BLUE SHIELD
8918HUOtherREGENCE BLUE SHIELD
WA8430910Medicaid