Provider Demographics
NPI:1700424603
Name:CHRISMAN-ALY, JULIE CHRISTEEN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CHRISTEEN
Last Name:CHRISMAN-ALY
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 1:3000 GRAPEVINE MILLS PKWY STE 329-29
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-2008
Mailing Address - Country:US
Mailing Address - Phone:214-546-6111
Mailing Address - Fax:
Practice Address - Street 1:3000 GRAPEVINE MILLS PKWY STE 329-29
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-2008
Practice Address - Country:US
Practice Address - Phone:214-285-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251S0007X, 2251X0800X
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist