Provider Demographics
NPI:1952062044
Name:SIX, JULIANNE (DPT)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:SIX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3824 S CARRIER PKWY STE 490
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-6668
Mailing Address - Country:US
Mailing Address - Phone:469-856-2476
Mailing Address - Fax:
Practice Address - Street 1:2000 FM 663 STE 160
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6559
Practice Address - Country:US
Practice Address - Phone:469-856-2476
Practice Address - Fax:469-749-7482
Is Sole Proprietor?:No
Enumeration Date:2022-01-01
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1352692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist