Provider Demographics
NPI:1932124161
Name:TRAIL, JULIE (DPT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:TRAIL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:19433 E MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3874
Mailing Address - Country:US
Mailing Address - Phone:720-810-3743
Mailing Address - Fax:720-446-3523
Practice Address - Street 1:19433 E MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-3874
Practice Address - Country:US
Practice Address - Phone:720-810-3743
Practice Address - Fax:720-446-3523
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO455168Medicare ID - Type Unspecified