Provider Demographics
NPI:1518013796
Name:KNIESS, JULIE BETH (ND)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BETH
Last Name:KNIESS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2013
Mailing Address - Country:US
Mailing Address - Phone:203-520-3798
Mailing Address - Fax:
Practice Address - Street 1:32 MAIN ST
Practice Address - Street 2:BOX 359
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248-1515
Practice Address - Country:US
Practice Address - Phone:860-228-8372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00369175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath