Provider Demographics
NPI:1285498113
Name:ALLRED, JULIE O'KEEFE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:O'KEEFE
Last Name:ALLRED
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:O'KEEFE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:4333 HARVEST HILL RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6422
Mailing Address - Country:US
Mailing Address - Phone:940-733-0698
Mailing Address - Fax:
Practice Address - Street 1:4333 HARVEST HILL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-6422
Practice Address - Country:US
Practice Address - Phone:940-733-0698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11156547225100000X
TX1115657225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist