Provider Demographics
NPI:1700984168
Name:VUXINIC MARTIN, JULIE A (MSPT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:VUXINIC MARTIN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 OAKWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4659
Mailing Address - Country:US
Mailing Address - Phone:970-690-4161
Mailing Address - Fax:
Practice Address - Street 1:6318 OAKWOOD CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4659
Practice Address - Country:US
Practice Address - Phone:970-690-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC809634Medicare PIN