Provider Demographics
NPI:1669671608
Name:NEEVEL, JULIE M (LMP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:NEEVEL
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2845
Mailing Address - Country:US
Mailing Address - Phone:360-752-9595
Mailing Address - Fax:360-752-1975
Practice Address - Street 1:2301 ELM ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2845
Practice Address - Country:US
Practice Address - Phone:360-752-9595
Practice Address - Fax:360-752-1975
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021845225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist