Provider Demographics
NPI:1124152673
Name:WEISGERBER, JULIE ANN (MSED, ATC, CSCS)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:WEISGERBER
Suffix:
Gender:F
Credentials:MSED, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 ADAMS AVE # 303
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-0916
Mailing Address - Country:US
Mailing Address - Phone:360-223-3498
Mailing Address - Fax:
Practice Address - Street 1:516 HIGH ST
Practice Address - Street 2:CARVER GYM #100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5946
Practice Address - Country:US
Practice Address - Phone:360-650-7635
Practice Address - Fax:360-650-3495
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer