Provider Demographics
NPI:1598086175
Name:JOHNSON, JULIE SCHEYDT (PT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SCHEYDT
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 SILVERADA BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2051
Mailing Address - Country:US
Mailing Address - Phone:775-359-3161
Mailing Address - Fax:775-331-2878
Practice Address - Street 1:2045 SILVERADA BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2051
Practice Address - Country:US
Practice Address - Phone:775-359-3161
Practice Address - Fax:775-331-2878
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV 1722225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV 1722OtherNEVADA BOARD OF PHYSICAL THERAPY EXAMINERS