Provider Demographics
NPI:1700175452
Name:SKINNER, JULIA DEVIER-SCOTT (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:DEVIER-SCOTT
Last Name:SKINNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 BALCONES WOODS DR
Mailing Address - Street 2:STE. 306
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5273
Mailing Address - Country:US
Mailing Address - Phone:540-421-5307
Mailing Address - Fax:
Practice Address - Street 1:5114 BALCONES WOODS DR
Practice Address - Street 2:STE. 306
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5273
Practice Address - Country:US
Practice Address - Phone:512-794-8863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1204006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist