Provider Demographics
NPI:1528199957
Name:THOMPSON, JULIA ANN (MS PT)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:MRS
Other - First Name:JULIA
Other - Middle Name:THOMPSON
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS PT
Mailing Address - Street 1:PO BOX 2761
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250
Mailing Address - Country:US
Mailing Address - Phone:360-378-1976
Mailing Address - Fax:360-378-1976
Practice Address - Street 1:534 UNIVERSITY ROAD
Practice Address - Street 2:#9
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250
Practice Address - Country:US
Practice Address - Phone:360-378-1976
Practice Address - Fax:360-378-1976
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT00007856OtherPT LICENSE