Provider Demographics
NPI:1124423314
Name:HARTMANS, JULIE (LMT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HARTMANS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:693 WILSON AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-6638
Mailing Address - Country:US
Mailing Address - Phone:651-503-2101
Mailing Address - Fax:
Practice Address - Street 1:693 WILSON AVE APT 3
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-6638
Practice Address - Country:US
Practice Address - Phone:651-503-2101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist