Provider Demographics
NPI:1457422024
Name:RUTLEDGE, JULIA THI (DPT, ATC)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:THI
Last Name:RUTLEDGE
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:THI
Other - Last Name:RUTLEDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, ATC
Mailing Address - Street 1:10725 INTERNATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7967
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10725 INTERNATIONAL DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-7967
Practice Address - Country:US
Practice Address - Phone:916-631-2064
Practice Address - Fax:916-631-2375
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist