Provider Demographics
NPI:1477838738
Name:LINKOUS, JULIA (LMBT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:LINKOUS
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 GARDEN CLUB ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1166
Mailing Address - Country:US
Mailing Address - Phone:336-803-2536
Mailing Address - Fax:
Practice Address - Street 1:506 IDOL ST STE 101
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7857
Practice Address - Country:US
Practice Address - Phone:336-869-2302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC04443225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC04443OtherMASSAGE THERAPIST