Provider Demographics
NPI:1881983823
Name:EDDY, JULIE ELIZABETH (PT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ELIZABETH
Last Name:EDDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 9TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677
Mailing Address - Country:US
Mailing Address - Phone:319-352-5644
Mailing Address - Fax:
Practice Address - Street 1:1306 HWY 57
Practice Address - Street 2:SUITE B
Practice Address - City:PARKERSBURG
Practice Address - State:IA
Practice Address - Zip Code:50665
Practice Address - Country:US
Practice Address - Phone:319-346-9783
Practice Address - Fax:319-346-9785
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist