Provider Demographics
NPI:1285139592
Name:VILLANI, JULIA (LAT, ATC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:VILLANI
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 RUDI LN
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-9786
Mailing Address - Country:US
Mailing Address - Phone:720-849-1750
Mailing Address - Fax:
Practice Address - Street 1:95 E BEETDIGGER BLVD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-3633
Practice Address - Country:US
Practice Address - Phone:720-849-1750
Practice Address - Fax:720-849-1750
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9858535-48102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer