Provider Demographics
NPI:1255705430
Name:JULIE A SCHWERMAN, LLC
Entity type:Organization
Organization Name:JULIE A SCHWERMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-320-3746
Mailing Address - Street 1:320 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4813
Mailing Address - Country:US
Mailing Address - Phone:208-320-3746
Mailing Address - Fax:208-736-4400
Practice Address - Street 1:320 PIERCE ST
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4813
Practice Address - Country:US
Practice Address - Phone:208-320-3746
Practice Address - Fax:208-736-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-082225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty