Provider Demographics
NPI:1770608713
Name:ESTERLY, JULIA LOUISE (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:LOUISE
Last Name:ESTERLY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:LOUISE
Other - Last Name:ESTERLY MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4055 BRANCIFORTE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-9619
Mailing Address - Country:US
Mailing Address - Phone:831-227-3148
Mailing Address - Fax:
Practice Address - Street 1:1595 38TH AVE
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2901
Practice Address - Country:US
Practice Address - Phone:831-227-3148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12162111N00000X
OR27 1281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor