Provider Demographics
NPI:1710677265
Name:VAN NESS, JULIA REED
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:REED
Last Name:VAN NESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2467 MOUNTAIN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24484-2229
Mailing Address - Country:US
Mailing Address - Phone:540-817-0920
Mailing Address - Fax:
Practice Address - Street 1:1900 HILLSMERE LN
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-1796
Practice Address - Country:US
Practice Address - Phone:540-817-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306603176225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant