Provider Demographics
NPI:1497031983
Name:TORRE, JULIE A (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:TORRE
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LONGHORN BLVD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2748
Mailing Address - Country:US
Mailing Address - Phone:469-272-2000
Mailing Address - Fax:972-291-6314
Practice Address - Street 1:1 LONGHORN BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2748
Practice Address - Country:US
Practice Address - Phone:469-272-2000
Practice Address - Fax:972-291-6314
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17902255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer