Provider Demographics
NPI:1912022476
Name:FLANTZER, JULIE DENISE (ATC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:DENISE
Last Name:FLANTZER
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 1:232 NE NORTHGATE WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3307 3RD AVE W
Practice Address - Street 2:DEPARTMENT OF ATHLETICS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1940
Practice Address - Country:US
Practice Address - Phone:206-281-2260
Practice Address - Fax:206-281-2266
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
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