Provider Demographics
NPI:1851350938
Name:SCHWERMAN, JULIE ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:SCHWERMAN
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 1:320 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4813
Mailing Address - Country:US
Mailing Address - Phone:208-320-3746
Mailing Address - Fax:208-736-0890
Practice Address - Street 1:320 PIERCE ST
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4813
Practice Address - Country:US
Practice Address - Phone:208-320-3746
Practice Address - Fax:208-736-0890
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT082225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID002608400Medicaid
000010025156OtherREGENCE BLUE SHIELD
IDT5048OtherBLUE CROSS OF IDAHO