Provider Demographics
NPI:1194096214
Name:MONTROY, JULIE A (RD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:MONTROY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 S NELSON ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-2138
Mailing Address - Country:US
Mailing Address - Phone:616-754-6185
Mailing Address - Fax:
Practice Address - Street 1:407 S NELSON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-2138
Practice Address - Country:US
Practice Address - Phone:616-754-6407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered