Provider Demographics
NPI:1245357581
Name:OPHEIM, JULIA MARLENE (PT)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:MARLENE
Last Name:OPHEIM
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 1:1438 AUSTIN CIR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7112
Mailing Address - Country:US
Mailing Address - Phone:785-825-6340
Mailing Address - Fax:
Practice Address - Street 1:2601 E CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3791
Practice Address - Country:US
Practice Address - Phone:785-493-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist