Provider Demographics
NPI:1508053877
Name:MAGEE, JULIAN LERONE (PT)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:LERONE
Last Name:MAGEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BRADFORD BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-4600
Mailing Address - Country:US
Mailing Address - Phone:615-683-3490
Mailing Address - Fax:615-683-3495
Practice Address - Street 1:112 BRADFORD BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-4600
Practice Address - Country:US
Practice Address - Phone:615-683-3490
Practice Address - Fax:615-683-3495
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 5164225100000X
TN10523225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist