Provider Demographics
NPI:1881845378
Name:TROUT, JULIE R (DC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:R
Last Name:TROUT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:R
Other - Last Name:TROUT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9202 S SHROUT RD
Mailing Address - Street 2:
Mailing Address - City:GRAIN VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64029-9180
Mailing Address - Country:US
Mailing Address - Phone:816-582-8999
Mailing Address - Fax:
Practice Address - Street 1:9202 S SHROUT RD
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-9180
Practice Address - Country:US
Practice Address - Phone:816-582-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006408111N00000X
KS01-04301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor