Provider Demographics
NPI:1063596799
Name:JULIUS, JAMIE BETH (LMP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:BETH
Last Name:JULIUS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:BETH
Other - Last Name:EINSOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1817 QUEEN ANNE AVE N
Mailing Address - Street 2:207
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109
Mailing Address - Country:US
Mailing Address - Phone:206-788-5300
Mailing Address - Fax:888-456-8897
Practice Address - Street 1:1817 QUEEN ANNE AVE N
Practice Address - Street 2:207
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109
Practice Address - Country:US
Practice Address - Phone:206-788-5300
Practice Address - Fax:888-456-8897
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016158225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist