Provider Demographics
NPI:1922527712
Name:LESTER, JULIE ANN (ATC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:LESTER
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 1:9023 LICKING PIKE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-9033
Mailing Address - Country:US
Mailing Address - Phone:859-781-2800
Mailing Address - Fax:
Practice Address - Street 1:1400 GLORIA TERRELL DR
Practice Address - Street 2:
Practice Address - City:WILDER
Practice Address - State:KY
Practice Address - Zip Code:41076-9188
Practice Address - Country:US
Practice Address - Phone:859-781-2800
Practice Address - Fax:859-781-2800
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0000903532255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer