Provider Demographics
NPI:1588609135
Name:TITTER, JULIA (ATC)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:TITTER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1899 SMIZER MILL CT
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-2663
Mailing Address - Country:US
Mailing Address - Phone:314-541-1059
Mailing Address - Fax:
Practice Address - Street 1:1899 SMIZER MILL CT
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2663
Practice Address - Country:US
Practice Address - Phone:314-541-1059
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer